DR. Brian Matthew Lake, D.O.

NPI #1295887040 in Largo, Florida

Provider Information

NPI Number
1295887040
Entity Type
Individual
Name
DR. Brian Matthew Lake, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
D.O.
Enumeration Date
Jan 18, 2007
Last Updated
May 2, 2021

Practice Location

Address
13123 66TH ST
City
Largo
State
Florida
ZIP Code
33773-1812
Phone
(727) 477-1039

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Internal Medicine - Endocrinology, Diabetes & MetabolismEndocrinology, Diabetes & Metabolism

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