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

Lake Surgical Associates, LLC

Organization Surgery Physician · NPI 1275673865

Lake Surgical Associates, LLC is a Surgery Physician in Munster, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10110 Donald Powers Dr Ste 202
Munster, IN 46321
Phone: (219) 922-0222
Fax: (219) 922-8899
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (IN)

Record details

NPI number1275673865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Pellar — Doctor · (219) 922-0222
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMarch 19, 2008
Mailing address10110 Donald Powers Dr., Ste. 202, Munster, IN 46321

Other providers in Munster