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Contact Information

LAKE COUNTY PEDIATRICS LLC
8500 BROADWAY
STE E
MERRILLVILLE, IN46410
 Phone: 219-736-9580
 Fax: 219-736-9581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKE COUNTY PEDIATRICS LLC · (Female)

NPI Number 1265654099
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01025495
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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