person
Kevin C Lake, RPA
Medical Physician Assistant in Syracuse, New York
NPI 1841253341

Kevin C Lake is a Medical Physician Assistant based in Syracuse, NY and is specialized in Medical. Kevin C Lake practices in Syracuse, NY and has the professional credentials of RPA. The NPI Number for Kevin C Lake is 1841253341 and holds a License No. 010298 (New York).

The current practice location address for Kevin C Lake is 475 Irving Ave, Syracuse, NY and can be reached out via phone at 315-426-0190 and via fax at 315-426-0192.

Location: 475 Irving Ave, Syracuse, NY, 13210-1756
person
Provider Profile Details
NPI Number
1841253341
Provider Name
Kevin C Lake
Credential
RPA
Provider Entity Type
Individual
Gender
Male
Address
475 Irving Ave, Syracuse, NY, 13210-1756
Phone Number
315-426-0190
Fax Number
315-426-0192
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
475 Irving Ave
City
State
Zip
13210-1756
Phone Number
315-426-0190
Fax Number
315-426-0192
person
Provider Business Mailing Address Details
Address
475 Irving Ave
City
State
Zip
13210-1756
Phone Number
315-426-0190
Fax Number
315-426-0192
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
010298 (New York)
Definition
Definition to come...
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