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NPI Code Detail

MEDICARE: MORGAN RAE LAREAU PA-C

MEDICARE: MORGAN RAE LAREAU PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10005090AIN

General Provider Information

NPI Number : 1427937895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN RAE LAREAU PA-C
Provider Business Mailing Address
First Line : 12010 W 90TH AVE
Second Line :
City : SAINT JOHN
State : IN
Zip : 46373-9292
Country : US
Telephone Number : 219-743-6345
Fax Number :
Provider Business Practice Location Address
First Line : 85 E US HIGHWAY 6
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-8947
Country : US
Telephone Number : 219-983-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2025
Last Update Date : 01/30/2026

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Directions to “ MORGAN RAE LAREAU PA-C” Practice Location

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