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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

NPI # 1265654099
LBN Legal business name LAKE COUNTY PEDIATRICS LLC
Authorized official CONSTANCIO ACOSTA - (PHYSICIAN PEDIATRICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 01025495
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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