Kathleen A Lake
M.D. | Pediatrics | Female
Kathleen A Lake, M.D. is a Springfield, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kathleen A Lake is
301 N 8th St, Springfield, Illinois - 62701-1041. She can be contacted on phone at
217-545-4238 and fax number 217-545-2303.
Kathleen A Lake is a sole proprietor of her business.
NPI number (Unique professional ID) for Kathleen A Lake is
1558343103 which was assigned by NPPES on 18 Nov, 2005 and it was last updated on 31 Aug, 2009.
Kathleen A Lake license number is
036-086125 for Pediatrics (208000000X) in Illinois.
Kathleen A Lake is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kathleen A Lake basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kathleen A Lake |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Kathleen A Lake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 N 8th St
Springfield, IL, 62701-1041
United States |
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| Phone Number : | 217-545-4238 |
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| Fax Number : | 217-545-2303 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558343103 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Nov, 2005 |
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| Last Updated On : | 31 Aug, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen A Lake are as mentioned. Primary taxonomy code for Kathleen A Lake, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-086125 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Kathleen A Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036-086125 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19658
Springfield, IL, 62794-9658
United States |
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| Phone Number : | 217-545-4238 |
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| Fax Number : | 217-545-2303 |
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Business Location:
Patients can refer following map for directions to
Kathleen A Lake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.