DR. Russell William Lake MD

  • NPI 1104081082
According to our database, the NPI number for DR. Russell William Lake MD is 1104081082 and activated since 15 years ago. DR. Russell William Lake MD is an individual provider who specializes in Family Medicine, and the primary practice location is 10055 Ford Ave Ste 3a, Richmond Hill, GA 31324. You can also contact DR. Russell William Lake MD via telephone number is (912) 819-9601. Provider NPI information was last updated on 09/12/2021.

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Overview of DR. Russell William Lake MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/21/2008
  • Last updated: 09/12/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 75198
  • License State: GA

Provider Mailing Address

  • Address: 836 E. 65th Street
    Suite 20
    Savannah, GA 31405
  • Phone: 912-819-7878
  • Fax: 912-819-3555

Provider Practice Location

  • Address: 10055 Ford Ave Ste 3a
    Richmond Hill, GA 31324
  • Phone: 912-819-9601
  • Fax: 912-819-9605

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 75198
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 200480198D
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Russell William Lake MD?
  • A: The npi number for DR. Russell William Lake MD is 1104081082.
  • Q: What are DR. Russell William Lake MD's specialties?
  • A: DR. Russell William Lake MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Russell William Lake MD?
  • A: The medical license number for DR. Russell William Lake MD is 75198 and issued in GA in USA.
  • Q: Where is DR. Russell William Lake MD practice location?
  • A: DR. Russell William Lake MD is practicing at 10055 Ford Ave Ste 3a, Richmond Hill, GA 31324.
  • Q: How to contact DR. Russell William Lake MD?
  • A: You can contact DR. Russell William Lake MD via 912-819-9601.