Organization · Type 2 NPI

Lakeshore Bone & Joint Institute, PC

Specialist · Portage, IN

NPI number 1194999896 Active

Practice location

3691 Willowcreek Rd
Portage, IN 46368-5076

Call (219) 921-1444 Map

Fax (219) 921-0533

Mailing address

601 Gateway Blvd N
Chesterton, IN 46304-9658

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Anesthesiology Physician 207L00000XNone listed
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Neurological Surgery Physician 207T00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Orthopaedic Hand Surgery Physician 207XS0106XNone listed
Orthopaedic Surgery of the Spine Physician 207XS0117XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XNone listed
Pain Medicine Physician 208VP0000XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Podiatrist 213E00000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12 other providers at this address

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About NPI 1194999896

Lakeshore Bone & Joint Institute, PC's National Provider Identifier is 1194999896, issued on Apr 15, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portage, IN. The record was last updated on Aug 15, 2024.