Jeremy M Lake, MD

NPI #1114909371 in Hillsboro, Oregon

Provider Information

NPI Number
1114909371
Entity Type
Individual
Name
Jeremy M Lake, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine - Gastroenterology
Credential
MD
Enumeration Date
Nov 15, 2005
Last Updated
Jan 9, 2008

Practice Location

Address
232 SE 7TH AVE
State
Oregon
ZIP Code
97123
Phone
(503) 640-1614

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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