KATHLEEN A LAKE M.D.
NPI 1558343103
Pediatrics in Springfield, IL

Q: What is Kathleen Lake's NPI number?

The NPI number for Kathleen Lake is 1558343103. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Kathleen Lake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Lake was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2005

301 N 8TH ST, SPRINGFIELD, IL 62701(217) 545-4238(217) 545-2303 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen A Lake M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN A LAKE M.D. (NPI 1558343103) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036-086125) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1558343103

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHLEEN A LAKECredential: M.D.

Location Address301 N 8TH STSpringfield, IL 62701-1041

Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-4238 · Fax (217) 545-2303

Phone(217) 545-4238

Fax(217) 545-2303

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateAugust 31, 2009

✔ NPI 1558343103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-086125

Definition

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 development.

301 N 8TH ST, Springfield, IL 62701

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Other Identifiers 3

Medicare UPINF57524

Medicaid036-086125IL

Medicare ID-Type UnspecifiedL60064IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA L SAUNDERS CPNP

Nurse Practitioner

301 N 8TH ST, PAV 4B
SPRINGFIELD, IL 62701

Sangamon County (217) 545-7500

TRACY P MILBRANDT M.D.

Pediatrics

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 545-4238

ASHLEY KIRKPATRICK MSN,FNP-BC

Nurse Practitioner (Family)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-8000

JENNIFER LOUISE BERRY AUD

Audiologist

301 N 8TH ST, PAV 5B
SPRINGFIELD, IL 62701

Sangamon County (217) 545-6099

JOSHUA DALE CAMPBELL APRN

Nurse Practitioner (Adult Health)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

TODD DAVID ELMORE MD

Psychiatry & Neurology (Neurology)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

CRAIG E BATTERMAN M.D.

Pediatrics

301 N 8TH ST, STE PAV4A
SPRINGFIELD, IL 62701

Sangamon County (217) 545-4238

DR. RAHUL NAYANI MD

Internal Medicine (Gastroenterology)

301 N 8TH ST
SPRINGFIELD, IL 62701

Sangamon County (217) 528-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Lake's NPI number?

The NPI number for Kathleen Lake is 1558343103. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kathleen Lake located?

Kathleen Lake practices at 301 N 8th St, Springfield, IL 62701. The listed phone number is (217) 545-4238.

What is Kathleen Lake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kathleen Lake was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.