Organization · Type 2 NPI
Lakeshore Psychiatry & Wellness
Psychiatric/Mental Health Nurse Practitioner · Gary, IN
NPI number
1093635682
Active
Practice location
201 E 5th Ave Ste A
Gary, IN 46402-1300
Fax (877) 349-7157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1093635682
Lakeshore Psychiatry & Wellness's National Provider Identifier is 1093635682, issued on Jul 15, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gary, IN. The record was last updated on Jul 28, 2026.