Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Pediatric Associates

Organization Pediatrics Physician · NPI 1023342474

Great Lakes Pediatric Associates is a Pediatrics Physician in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
4

Practice location Address checks out

3400 Pinetree Rd Ste 102
Lansing, MI 48911-4286
Phone: (517) 887-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301049233 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301063626 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301078945 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301086445 (MI)

Record details

NPI number1023342474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Charles — Practice Manager · (517) 887-3000
NPI enumeratedOctober 1, 2009
Last updated in NPPESOctober 1, 2009
Mailing address3400 Pinetree Rd, Ste 102, Lansing, MI 48911-4286

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