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

Dr. Marie-Lesly Emmanuel, MD

Individual provider Family Medicine Physician · NPI 1891375515

Dr. Marie-Lesly Emmanuel, MD is a Family Practice in Lake Station, Indiana. Qualified in 2017, 9 years ago. Practices with Northshore Health Centers Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2021
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

2490 Central Ave
Lake Station, IN 46405-2122
Phone: (210) 358-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01094805A (IN)

Record details

NPI number1891375515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2021
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northshore Health Centers Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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