MEDICARE: LAKE COUNTY WALKER MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1427389287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE COUNTY WALKER MEDICAL

Provider Business Mailing Address
First Line	:	426 S LAKE ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2405
Country	:	US
Telephone Number	:	219-939-6070
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 S LAKE ST
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46403-2405
Country	:	US
Telephone Number	:	219-939-6070
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROLAND HAYES WALKER
Credential	:	MD
Telephone Number	:	219-939-6070

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	08/15/2025

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Directions to “LAKE COUNTY WALKER MEDICAL ” Practice Location

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