JEFFREY P. LAKE, M.D., INC.
Organization (NPI-2)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1639487002- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16311 VENTURA BLVD SUITE 505, ENCINO, CA, 914362124
- Phone
- (818) 387-8725
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: CA #A73315