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

Great Lakes Pediatric Associates

Organization Pediatrics Physician · NPI 1023342474

Great Lakes Pediatric Associates provides Pediatrics Physician services in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
4
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Practice location Address checks out

3400 Pinetree Rd Ste 102
Lansing, MI 48911-4286 Not confirmed with CMS for 17 years — call before visiting
Phone: (517) 887-3000
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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 4301049233 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301063626 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301078945 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301086445 (MI)

Record details

NPI number1023342474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Charles — Practice Manager · (517) 887-3000
NPI enumeratedOctober 1, 2009
Last updated in NPPESOctober 1, 2009
Mailing address3400 Pinetree Rd, Ste 102, Lansing, MI 48911-4286

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