person
John Richard Lake, MD
Gastroenterology Physician in Minneapolis, Minnesota
NPI 1740360619

John Richard Lake is a Gastroenterology Physician based in Minneapolis, MN and is specialized in Gastroenterology. John Richard Lake practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for John Richard Lake is 1740360619 and holds a License No. 40739 (Minnesota).

The current practice location address for John Richard Lake is University Of Minnesota Physicians, Minneapolis, MN and can be reached out via phone at 612-626-6100. You can also correspond with John Richard Lake through the mailing address at UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN - 55455 (mailing address contact number: 612-626-6100).

Location: University Of Minnesota Physicians, Minneapolis, MN, 55455
person
Provider Profile Details
NPI Number
1740360619
Provider Name
John Richard Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
University Of Minnesota Physicians, Minneapolis, MN, 55455
Phone Number
612-626-6100
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124409 01 MN UCARE
29-00011 01 MN MEDICA-PRIMARY
784417 01 ARAZ
0506741 05 IA
114843 01 MN FAIRVIEW
03G121LA 01 MN BCBS
1017135 01 MN PREFERRED ONE
480019200 05 MN
HP28838 01 MN HEALTH PARTNERS
32420100 05 WI
2900020 01 MN MEDICA-CHOICE
institution
Provider Business Practice Location Address Details
Address
University Of Minnesota Physicians
City
State
Zip
55454-1478
Phone Number
612-626-6100
Fax Number
person
Provider Business Mailing Address Details
Address
University Of Minnesota Physicians
City
State
Zip
55455
Phone Number
612-626-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
License No.
40739 (Minnesota)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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