Jeffrey P. Lake, M.D., Inc. Valid NPI

Organization · Colon & Rectal Surgery Physician · Encino, CA

NPI

1639487002

Type

Organization (Type 2)

Primary specialty

Colon & Rectal Surgery Physician (Colon & Rectal Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208C00000X

License number

A73315 (CA)

Enumerated

2010-09-20

Last updated

2010-11-16