person
Dr. Douglas R. Lake, MD
Diagnostic Radiology Physician in Ames, Iowa
NPI 1194808394

Douglas R. Lake is a Diagnostic Radiology Physician based in Ames, IA and is specialized in Diagnostic Radiology. Douglas R. Lake practices in Ames, IA and has the professional credentials of MD. The NPI Number for Douglas R. Lake is 1194808394 and holds a License No. 37861 (Iowa).

The current practice location address for Douglas R. Lake is 1215 Duff Avenue, Ames, IA and can be reached out via phone at 515-239-4456 and via fax at 515-239-4761.

Location: 1215 Duff Avenue, Ames, IA, 50010-3014
person
Provider Profile Details
NPI Number
1194808394
Provider Name
Douglas R. Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1215 Duff Avenue, Ames, IA, 50010-3014
Phone Number
515-239-4456
Fax Number
515-239-4761
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01626 01 BC/BS NE
10025186700 05 NE
10025173600 05 NE
69958751 05 CO
1194808394 05 IA
200145166 01 IA WELLMARK SELECT FIRST
201477608 01 IA WELLMARK SELECT FIRST
P00619095 01 IA RR MEDICARE
P00619099 01 NE RR MEDICARE
7729430 05 SD
10025248800 05 NE
34783 01 BC/BS NE
institution
Provider Business Practice Location Address Details
Address
1215 Duff Avenue
City
State
Zip
50010-3014
Phone Number
515-239-4456
Fax Number
515-239-4761
person
Provider Business Mailing Address Details
Address
1215 Duff Avenue
City
State
Zip
50010-3014
Phone Number
515-239-4456
Fax Number
515-239-4761
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
37861 (Iowa)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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