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Jeffrey P. Lake, M.d., Inc.
Colon & Rectal Surgery Physician in Encino, California
NPI 1639487002

Jeffrey P. Lake, M.d., Inc. is a Colon & Rectal Surgery Physician based in Encino, CA. Jeffrey P. Lake, M.d., Inc. practices in Encino, CA. The NPI Number for Jeffrey P. Lake, M.d., Inc. is 1639487002 and holds a License No. A73315 (California).

The current practice location address for Jeffrey P. Lake, M.d., Inc. is 16311 Ventura Blvd, Encino, CA and can be reached out via phone at 818-387-8725.

Location: 16311 Ventura Blvd, Encino, CA, 91436-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639487002
Provider Name
Jeffrey P. Lake, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
16311 Ventura Blvd, Encino, CA, 91436-2124
Phone Number
818-387-8725
Fax Number
Provider Enumeration Date
09/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WA73315A 01 MEDICARE PPIN
institution
Provider Business Practice Location Address Details
Address
16311 Ventura Blvd
City
Encino
State
California
Zip
91436-2124
Phone Number
818-387-8725
Fax Number
person
Provider Business Mailing Address Details
Address
16311 Ventura Blvd
City
Encino
State
California
Zip
91436-2124
Phone Number
818-387-8725
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
A73315 (California)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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