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Marlyn A Lake, MD
Neurology Physician in Macon, Georgia
NPI 1952405318

Marlyn A Lake is a Neurology Physician based in Stuart, GA and is specialized in Neurology. Marlyn A Lake practices in Macon, GA and has the professional credentials of MD. The NPI Number for Marlyn A Lake is 1952405318 and holds a License No. ME76490 (Georgia).

The current practice location address for Marlyn A Lake is 380 Hospital Dr Ste 370, Macon, GA and can be reached out via phone at 478-219-7735. You can also correspond with Marlyn A Lake through the mailing address at PO BOX 417, STUART, FL - 34995-0417 (mailing address contact number: 772-223-2832).

Location: 380 Hospital Dr Ste 370, Macon, GA, 34995-0417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952405318
Provider Name
Marlyn A Lake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
380 Hospital Dr Ste 370, Macon, GA, 34995-0417
Phone Number
478-219-7735
Fax Number
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NT772 01 FL FL HF MEDICARE
257303200 05 FL
44751 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
380 Hospital Dr Ste 370
City
Macon
State
Georgia
Zip
31217-8010
Phone Number
478-219-7735
Fax Number
person
Provider Business Mailing Address Details
Address
380 Hospital Dr Ste 370
City
Macon
State
Georgia
Zip
31217-8010
Phone Number
478-219-7735
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
ME76490 (Florida)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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