| Lake County Walker Medical | |
|
426 S Lake St Gary IN 46403-2405 | |
| (219) 939-6070 | |
| Not Available |
| Full Name | Lake County Walker Medical |
|---|---|
| Speciality | General Practice |
| Location | 426 S Lake St, Gary, Indiana |
| Authorized Official Name and Position | Roland Hayes Walker (CEO) |
| Authorized Official Contact | 2199396070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Walker Medical 426 S Lake St Gary IN 46403-2405 Ph: (219) 939-6070 | Lake County Walker Medical 426 S Lake St Gary IN 46403-2405 Ph: (219) 939-6070 |
| NPI Number | 1427389287 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Medicare PECOS PAC ID | 8820504590 |
|---|---|
| Medicare Enrollment ID | O20250721000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427389287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Roland Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891875647 PECOS PAC ID: 2062454820 Enrollment ID: I20050523001047 |
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