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

Lake Effect Healing PC

Organization Registered Nurse · NPI 1912693466

Lake Effect Healing PC is a Registered Nurse in Michigan City, Indiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

613 Franklin St Ste C
Michigan City, IN 46360-3411
Phone: (317) 449-9669
Fax: (888) 915-0644
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Registered Nurse Taxonomy 163W00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1912693466
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Evans — Nurse Practitioner · (219) 210-8331
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 16, 2023
Mailing address613 Franklin St, Michigan City, IN 46360-3411

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