Kathleen A Lake is a Pediatrics in Springfield, Illinois. Kathleen A Lake practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen A Lake is 1558343103. The last update date is 2009-08-31.
Kathleen A Lake's current location address is Po Box 19658, Springfield, Illinois. You can contact this provider via phone number 2175454238 and fax number 2175452303. The mailing address for Kathleen A Lake is Po Box 19658, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen A Lake |
|---|---|
| Address | Po Box 19658, Springfield, Illinois |
| Phone Number | 2175454238 |
| Fax Number | 2175452303 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558343103 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2009-08-31 |
Provider Mailing Address Detail
| Address | Po Box 19658 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949658 |
| Phone Number | 2175454238 |
| Fax Number | 2175452303 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 036-086125 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-086125 | IL | -- |
Post Comment/ Review Below
What is the Kathleen A Lake's 1558343103?
The Kathleen A Lake's NPI (National Provider Identifier) Number is 1558343103. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kathleen A Lake is physically located?
The Kathleen A Lake is situated at the following address: Po Box 19658, Springfield, IL 627949658.
What is Kathleen A Lake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathleen A Lake is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did Kathleen A Lake receive its 1558343103 assignment?
The Kathleen A Lake was assigned its 1558343103 on 2005-11-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kathleen A Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen A Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-31.