LAKE UROLOGY LLC – NPI #1720259146
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

LAKE UROLOGY LLC is an urologist located in MUNSTER, IN. NPPES has assigned the NPI number 1720259146 to LAKE UROLOGY LLC on March 13, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 16 years ago on Sep 14, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE UROLOGY LLC below.

NPI Profile for
LAKE UROLOGY LLC

NPI Number
1720259146
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE UROLOGY LLC
Primary location
929 RIDGE RD STE 1
MUNSTER, IN 46321-1769
Phone: (219) 836-6241 Fax: (219) 836-2433
Mailing address
PO BOX 3060
MUNSTER, IN 46321-0060
Phone: (219) 836-6241 Fax: (219) 836-2433
Organization Subpart
No
Authorized Official
VICKI ORR
BILLER
Phone: (219) 836-6241
Updated
Identifiers

Identifiers for LAKE UROLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREINDQ2352
MEDICAIDIN200981370A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
IN 01036410A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.