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Nicholas Heller Lake, MD
Orthopedic Hand Surgery Physician in Portsmouth, Virginia
NPI 1669851416

Nicholas Heller Lake is a Orthopedic Hand Surgery Physician based in Charlotte, VA and is specialized in Hand Surgery. Nicholas Heller Lake practices in Portsmouth, VA and has the professional credentials of MD. The NPI Number for Nicholas Heller Lake is 1669851416 and holds a License No. (Virginia).

The current practice location address for Nicholas Heller Lake is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 858-525-2842. You can also correspond with Nicholas Heller Lake through the mailing address at 4601 PARK RD STE 300, CHARLOTTE, NC - 28209-2290 (mailing address contact number: 704-323-2505).

Location: 620 John Paul Jones Cir, Portsmouth, VA, 28209-2290
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Provider Profile Details
NPI Number
1669851416
Provider Name
Nicholas Heller Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 28209-2290
Phone Number
858-525-2842
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0397730007 01 NC NSC#
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
858-525-2842
Fax Number
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Provider Business Mailing Address Details
Address
4601 Park Rd Ste 300
City
State
Zip
28209-2290
Phone Number
704-323-2505
Fax Number
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
29393 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
License No.
2020-02932 (North Carolina)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
License No.
()
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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