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Lake Pediatrics PC

Pediatrics Physician in Greenwood, IN · enumerated 2009 · authorized official Marjorie Lake, Ceo/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619114097

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Pediatrics PC
Other name <Unavail>
Practice address 373 Meridian Parke Ln, Ste. E, Greenwood, IN, 46142
Phone (317) 893-2364
Fax (317) 851-8066
Enumeration date Jan 7, 2009
Last updated in NPPES Mar 26, 2013

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marjorie Lake
Title Ceo/Owner
Phone (317) 893-2364

Other identifiers

Identifier Type State Issuer
200928110A Medicaid IN -
50005045A Other IN MEDICAL CORPORATION LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Lake Pediatrics PC?
Lake Pediatrics PC is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-26.