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Dennis Lake, MD
Pediatrics Physician in Grand Rapids, Michigan
NPI 1700986205

Dennis Lake is a Pediatrics Physician based in Grand Rapids, MI. Dennis Lake practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Dennis Lake is 1700986205 and holds a License No. 4301039973 (Michigan).

The current practice location address for Dennis Lake is 710 Kenmoor Ave Se, Grand Rapids, MI and can be reached out via phone at 616-949-6112 and via fax at 616-949-8530.

Location: 710 Kenmoor Ave Se, Grand Rapids, MI, 49546-2379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700986205
Provider Name
Dennis Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
710 Kenmoor Ave Se, Grand Rapids, MI, 49546-2379
Phone Number
616-949-6112
Fax Number
616-949-8530
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2890360 05 MI
institution
Provider Business Practice Location Address Details
Address
710 Kenmoor Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-2379
Phone Number
616-949-6112
Fax Number
616-949-8530
person
Provider Business Mailing Address Details
Address
710 Kenmoor Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-2379
Phone Number
616-949-6112
Fax Number
616-949-8530
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
4301039973 (Michigan)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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