MEDICARE: LASPARKLE HOPKINS

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
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1912877127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASPARKLE HOPKINS

Provider Business Mailing Address
First Line	:	4420 W GUADALUPE CIR
Second Line	:
City	:	EAST CHICAGO
State	:	IN
Zip	:	46312-3159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 W GUADALUPE CIR
Second Line	:
City	:	EAST CHICAGO
State	:	IN
Zip	:	46312-3159
Country	:	US
Telephone Number	:	773-491-4209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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Directions to “ LASPARKLE HOPKINS ” Practice Location

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