Lake Pediatrics Pc

Pediatrics

Lake Pediatrics Pc is a Greenwood, Indiana based Pediatric center with medical specialization in General Pediatrics. Lake Pediatrics Pc is doing business as Old Schoolhouse Pediatrics. It is located at 373 Meridian Parke Ln, Ste. E, Greenwood, Indiana - 46142-9420. They can be contacted on phone at 317-893-2364 and fax number 317-851-8066.
NPI number (Unique professional ID) for Lake Pediatrics Pc is 1619114097 which was assigned by NPPES on 07 Jan, 2009 and it was last updated on 26 Mar, 2013.
Lake Pediatrics Pc 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:
Lake Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Lake Pediatrics Pc
Other Name :Old Schoolhouse Pediatrics
Business Address:
Lake Pediatrics Pc 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 :373 Meridian Parke Ln, Ste. E
Greenwood, IN, 46142-9420
United States
Phone Number :317-893-2364
Fax Number :317-851-8066
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 : 1619114097
NPI Entity Type : Organization
First Enrolment Date : 07 Jan, 2009
Last Updated On : 26 Mar, 2013
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Marjoriee Lake
Authorized Official Credential :M.D.
Official Title or Position :CEO/OWNER
Phone Number :317-893-2364
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 Lake Pediatrics Pc are as mentioned. Primary taxonomy code for Lake Pediatrics Pc is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes
Legacy Identifiers:
Other legacy medical identifiers of Lake Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
200928110AMEDICAIDIN
50005045AOtherINMEDICAL CORPORATION LICENSE
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 :373 Meridian Parke Ln, Ste. E
Greenwood, IN, 46142-9420
United States
Phone Number :317-893-2364
Fax Number :317-851-8066
Business Location:
Patients can refer following map for directions to Lake Pediatrics Pc practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.