Angel Lake, MD

NPI #1063237360 in Christiansted, Virgin Islands

Provider Information

NPI Number: 1063237360
Entity Type: Organization
Organization Name: Angel Lake, MD
Primary Specialty: Internal Medicine
Enumeration Date: Nov 20, 2024
Last Updated: Feb 13, 2025

Practice Location

Address: 4007 ESTATE DIAMOND RUBY
City: Christiansted
State: Virgin Islands
ZIP Code: 00820-4435
Phone: (340) 332-3665

Authorized Official

Name: DR. ANGEL LAKE, MD
Title: PHYSICIAN/OWNER
Phone: (340) 332-3665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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