Stephanie Lake, DO
NPI 1255865952 · Pediatrics Physician · Dayton, OH
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Lake, DO is a Pediatrics Physician provider in Dayton, OH (NPI 1255865952).
Provider details
- NPI number
- 1255865952
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 34.013785 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 171 Deeds Park DrDayton, OH 45404-2699Phone: (937) 800-1235Fax: (937) 800-1237
- 1711 Germantown PikeDayton, OH 45417Phone: (937) 641-3142Fax: (937) 641-4172
- 1010 Valley StDayton, OH 45404-2070Phone: (937) 641-4000Fax: (937) 641-4500
- 1 Childrens PlzDayton, OH 45404-1815Phone: (937) 641-3600Fax: (937) 641-5802
- 8501 Old Troy PikeHuber Heights, OH 45424-1054Phone: (937) 641-4360Fax: (937) 641-3791
- 3333 W Tech RdMiamisburg, OH 45342-0955Phone: (937) 641-5725Fax: (937) 350-3050
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Frequently asked questions
- What is Stephanie Lake's NPI number?
- Stephanie Lake's National Provider Identifier (NPI) is 1255865952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Lake's specialty?
- Stephanie Lake is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stephanie Lake located?
- Stephanie Lake's practice location on file with NPPES is 1816 Harvard Blvd, Dayton, OH 45406-4543.
- What is Stephanie Lake's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Lake is (937) 641-4000.
- Does Stephanie Lake accept Medicare?
- Stephanie Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Lake's NPI active?
- Yes — Stephanie Lake's NPI (1255865952) is active in the NPPES registry as of the last update on 2026-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.