Angel A Lake, MD
Internal Medicine in Christiansted, U.S. Virgin Islands
1205978335- Practice location
- 4007 Diamond Ruby, Christiansted, VI 00820
- Phone
- 340-778-6311
- Fax
- —
- Last updated
- August 26, 2010
Angel Anthony Lake is an Internal Medicine based in Christiansted, VI. Angel Anthony Lake practices in Christiansted, VI and has the professional credentials of MD. The NPI Number for Angel Anthony Lake is 1205978335 and holds a License No. 1365 (VI). The current practice location address for Angel Anthony Lake is 4007 Diamond Ruby, Christiansted, VI 00820 and can be reached out via phone at 340-778-6311.
Provider Profile Details
- NPI Number
- 1205978335
- Provider Name
- Angel Anthony Lake
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4007 Diamond Ruby, Christiansted, VI 00820
- Phone Number
- 340-778-6311
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2007
- Last Update Date
- August 26, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4007 Diamond Ruby
Christiansted, VI 00820 - City
- Christiansted
- State
- U.S. Virgin Islands
- Zip
- 00820
- Phone Number
- 340-778-6311
Provider Business Mailing Address Details
- Address
- Po Box 371
Christiansted, VI 00821-0371 - City
- Christiansted
- State
- VI
- Zip
- 00821-0371
- Phone Number
- 340-778-5989
License Information
- License Number
- 1365
- License State
- VI
- Taxonomy
- Internal Medicine · 207R00000X · Primary
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 Angel A Lake, MD?
The NPI number of Angel A Lake, MD is 1205978335. It was assigned on February 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Angel A Lake, MD?
Angel A Lake, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in VI under license number 1365.
Where does Angel A Lake, MD practice?
The practice location is 4007 Diamond Ruby, Christiansted, VI 00820. The office can be reached at 340-778-6311 (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 1205978335 directly on the NPPES registry website.