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Lake Urology Llc
Urology Physician in Munster, Indiana
NPI 1720259146

Lake Urology Llc is a Urology Physician based in Munster, IN. Lake Urology Llc practices in Munster, IN. The NPI Number for Lake Urology Llc is 1720259146 and holds a License No. 01036410A (Indiana).

The current practice location address for Lake Urology Llc is 929 Ridge Rd Ste 1, Munster, IN and can be reached out via phone at 219-836-6241 and via fax at 219-836-2433.

Location: 929 Ridge Rd Ste 1, Munster, IN, 46321-0060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720259146
Provider Name
Lake Urology Llc
Credential
Provider Entity Type
Organization
Address
929 Ridge Rd Ste 1, Munster, IN, 46321-0060
Phone Number
219-836-6241
Fax Number
219-836-2433
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200981370A 05 IN
DQ2352 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
929 Ridge Rd Ste 1
City
Munster
State
Indiana
Zip
46321-1769
Phone Number
219-836-6241
Fax Number
219-836-2433
person
Provider Business Mailing Address Details
Address
929 Ridge Rd Ste 1
City
Munster
State
Indiana
Zip
46321-1769
Phone Number
219-836-6241
Fax Number
219-836-2433
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
01036410A (Indiana)
Definition
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.
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