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

Lake Shore Clinic

Organization Clinic/Center · NPI 1366566424

Lake Shore Clinic is a Clinic/Center in Culver, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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Practice location Address checks out

921 N Lake Shore Dr
Culver, IN 46511-1207
Phone: (574) 842-4330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 207Q000000X (IN)

Record details

NPI number1366566424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Deery — Business Manager · (574) 842-3327
NPI enumeratedMarch 16, 2007
Last updated in NPPESJune 21, 2018
Mailing address921 N Lake Shore Dr, Culver, IN 46511-1207