Individual provider · Type 1 NPI

Stephanie Ann Lake, DO

Pediatrics Physician · Dayton, OH

NPI number 1255865952 Active

Practice location

1816 Harvard Blvd
Dayton, OH 45406-4543

Call (937) 641-4000 Map

Fax (937) 641-4500

Mailing address

PO Box 933432
Cleveland, OH 44193-0039

Other practice locations

3333 W Tech Rd, Miamisburg, OH 45342-0955 · (937) 641-5725
8501 Old Troy Pike, Huber Heights, OH 45424-1054 · (937) 641-4360
1711 Germantown Pike, Dayton, OH 45417 · (937) 641-3142
1010 Valley St, Dayton, OH 45404-2070 · (937) 641-4000
171 Deeds Park Dr, Dayton, OH 45404-2699 · (937) 800-1235
1 Childrens Plz, Dayton, OH 45404-1815 · (937) 641-3600

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	34.013785 (OH)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1255865952

Stephanie Ann Lake, DO's National Provider Identifier is 1255865952, issued on Apr 19, 2017. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Dayton, OH. The record was last updated on Feb 13, 2026.