Jeffrey Preston Lake, M.D. Valid NPI

Individual provider · Colon & Rectal Surgery Physician · Encino, CA

NPI

1326006024

Type

Individual (Type 1)

Primary specialty

Colon & Rectal Surgery Physician (Colon & Rectal Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208C00000X

License number

A73315 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-02

Last updated

2010-09-13