Roger F. Lake MD

NPI 1629154141 - Family Medicine - 207Q00000X

NPI Details
NPI 1629154141
Gender Male
Enumeration Date 10/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
260 INTERNATIONAL CIR
SAN JOSE CA, 95119-1130, US
Phone (408) 972-7000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G39126
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According to our database, Roger F. Lake MD NPI is 1629154141, taxonomy code is 207Q00000X and license number is G39126, license state is located at California. Roger F. Lake MD physically located at 260 International Cir, San Jose CA, 95119-1130. NPI Number Roger F. Lake MD has the Individual type.

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1629154141 NPI number is provided on an as is basis without warranty of any kind. 1629154141 is maintained by the National Plan & Provider Enumeration System. The contents of Roger F. Lake MD are for informational purposes only.