MARLYN A LAKE MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1952405318- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 380 HOSPITAL DR STE 370, MACON, GA, 312178010
- Phone
- (478) 219-7735
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
License: FL #ME76490
Psychiatry & Neurology, Neurology
Primary License: GA #84646