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

Dr. Lylan S. Park, MD

Individual provider Pediatrics Physician · NPI 1043243561

Dr. Lylan S. Park, MD is a Pediatrics Physician in Lafayette, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2006.

Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2600 Greenbush St
Lafayette, IN 47904-2477
Phone: (765) 448-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01052774A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 036-099146 (IL)

Record details

NPI number1043243561
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address1200 W White River Blvd, Muncie, IN 47303-4988

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