SearchIndiana367500000X

Katelyn Lake, CRNA

NPI 1811631898 · on the registry since 2022

Practice

Address
615 N Michigan St
South Bend, IN 46601
Phone
(574) 647-1000
Organisation at this address
Memorial Hospital Of South Bend
Memorial Hospital Of South Bend
South Bend Emergency Physicians, Inc
Pediatrix Medical Group Of Indiana, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
176

Additional practice sites

  • 1234 Napier Ave, Saint Joseph, MI

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
163W00000X
Licence states on file
MI, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana