Lake County Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01025495 Issued in IN

Legal business name

LAKE COUNTY PEDIATRICS LLC

Practice address

8500 Broadway
Ste E
Merrillville, IN 46410

Phone

(219) 736-9580

Fax

(219) 736-9581

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Constancio B Acosta, MD

Title

Physician Pediatrician

Phone

(219) 736-9580

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265654099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BROADWAY",
            "address_2": "STE E",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-9580",
            "fax_number": "219-736-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BROADWAY",
            "address_2": "STE E",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-736-9580",
            "fax_number": "219-736-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "CONSTANCIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN PEDIATRICIAN",
        "authorized_official_telephone_number": "219-736-9580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01025495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norlinda Lacey
• Denise Ladowicz
• Ann M Lafrance, PSY.D., HSPP
• Rachael Lagunas
• Lake County Hospitalists, LLC
• Lake Urology, LLC
• Lakeshore EMS
• Olyvia Brooke Lakins, BCBA
• Nicholas Nicholas Lalios, DPM
• Jennifer Lameka

• Pediatrics Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.