- Practice location
- 1400 Pelham Pkwy S, Bronx, NY 10461-1138
- Phone
- 718-918-5820
- Fax
- —
- Last updated
- May 4, 2017
Dianah Thelma Lake is an Emergency Medicine based in Bronx, NY. Dianah Thelma Lake practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Dianah Thelma Lake is 1003952375 and holds a License No. 25MA08177800 (NJ). The current practice location address for Dianah Thelma Lake is 1400 Pelham Pkwy S, Bronx, NY 10461-1138 and can be reached out via phone at 718-918-5820.
Provider Profile Details
- NPI Number
- 1003952375
- Provider Name
- Dianah Thelma Lake
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1400 Pelham Pkwy S, Bronx, NY 10461-1138
- Phone Number
- 718-918-5820
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Dianah Thelma Hanson, MD (Former Name)
- Provider Enumeration Date
- January 30, 2007
- Last Update Date
- May 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1138 - City
- Bronx
- State
- New York
- Zip
- 10461-1138
- Phone Number
- 718-918-5820
Provider Business Mailing Address Details
- Address
- 8 Leo Ter
Bloomfield, NJ 07003-4414 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4414
- Phone Number
- 917-334-2381
- Fax Number
- 973-338-1041
License Information
- License Number (1)
- 25MA08177800
- License State (1)
- NJ
- Taxonomy (1)
- Emergency Medicine · 207P00000X · Primary
- License Number (2)
- MD21481
- License State (2)
- ME
- Taxonomy (2)
- Emergency Medicine · 207P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Dianah T Lake, MD?
The NPI number of Dr. Dianah T Lake, MD is 1003952375. It was assigned on January 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Dianah T Lake, MD?
Dr. Dianah T Lake, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA08177800.
Where does Dr. Dianah T Lake, MD practice?
The practice location is 1400 Pelham Pkwy S, Bronx, NY 10461-1138. The office can be reached at 718-918-5820 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003952375 directly on the NPPES registry website.