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Dr. Russell William Lake, MD
Family Medicine Physician in Richmond Hill, Georgia
NPI 1104081082

Russell William Lake is a Family Medicine Physician based in Savannah, GA. Russell William Lake practices in Richmond Hill, GA and has the professional credentials of MD. The NPI Number for Russell William Lake is 1104081082 and holds a License No. 31545 (Georgia).

The current practice location address for Russell William Lake is 10055 Ford Avenue, Richmond Hill, GA and can be reached out via phone at 912-819-9601 and via fax at 912-819-9605.

Location: 10055 Ford Avenue, Richmond Hill, GA, 31405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104081082
Provider Name
Russell William Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10055 Ford Avenue, Richmond Hill, GA, 31405
Phone Number
912-819-9601
Fax Number
912-819-9605
Provider Enumeration Date
07/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200480198D 05 GA
003213522B 05 GA
institution
Provider Business Practice Location Address Details
Address
10055 Ford Avenue
City
Richmond Hill
State
Georgia
Zip
31324
Phone Number
912-819-9601
Fax Number
912-819-9605
person
Provider Business Mailing Address Details
Address
10055 Ford Avenue
City
Richmond Hill
State
Georgia
Zip
31324
Phone Number
912-819-9601
Fax Number
912-819-9605
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
31545 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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