Dr. Lylan S. Park
MD | Pediatrics | Female
Dr. Lylan S. Park, MD is a Lafayette, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lylan S. Park is
2600 Greenbush St, Lafayette, Indiana - 47904-2477. She can be contacted on phone at
765-448-8000.
Dr. Lylan S. Park is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lylan S. Park is
1043243561 which was assigned by NPPES on 08 Jul, 2006 and it was last updated on 03 Feb, 2021.
Dr. Lylan S. Park license number is
01052774A for Pediatrics (208000000X) in Indiana.
Dr. Lylan S. Park 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:
Dr. Lylan S. Park basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lylan S. Park |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Lylan S. Park 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 : | 2600 Greenbush St
Lafayette, IN, 47904-2477
United States |
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| Phone Number : | 765-448-8000 |
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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 : | 1043243561 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jul, 2006 |
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| Last Updated On : | 03 Feb, 2021 |
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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 Dr. Lylan S. Park are as mentioned. Primary taxonomy code for Dr. Lylan S. Park, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036-099146 | IL |
| 208000000X | Pediatrics | Yes | 01052774A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lylan S. Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201145160 | MEDICAID | IN | |
| 000000808598 | Other | IN | ANTHEM PROVIDER NUMBER |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | lpark@direct.iuhealth.org
| No affiliation |
|
| 2600 GREENBUSH ST,
LAFAYETTE, IN, 47904-2477
United States |
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 : | 1200 W White River Blvd
Muncie, IN, 47303-4988
United States |
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| Phone Number : | 877-668-5621 |
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Business Location:
Patients can refer following map for directions to
Dr. Lylan S. Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.