Jeffrey P. Lake, M.d., Inc.
NPI #1639487002 in Encino, California
Provider Information
- NPI Number
- 1639487002
- Entity Type
- Organization
- Organization Name
- Jeffrey P. Lake, M.d., Inc.
- Primary Specialty
- Colon & Rectal Surgery
- Enumeration Date
- Sep 20, 2010
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- 16311 VENTURA BLVD
- Address 2
- SUITE 505
- City
- Encino
- State
- California
- ZIP Code
- 91436-2124
- Phone
- (818) 387-8725
Authorized Official
- Name
- JEFFREY LAKE, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (818) 387-8725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Colon & Rectal Surgery |
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