MR. Kenneth Douglas Lake, PA-C
NPI #1518981927 in Asheboro, North Carolina
Provider Information
- NPI Number
- 1518981927
- Entity Type
- Individual
- Name
- MR. Kenneth Douglas Lake, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Feb 4, 2019
Practice Location
- Address
- 300 MACK RD
- City
- Asheboro
- State
- North Carolina
- ZIP Code
- 27205-1066
- Phone
- (336) 625-1172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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