Dr DOUGLAS R LAKE is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2002 from University Of Kansas School Of Medicine.
STANFORD HEALTH CARE
420 BROADWAY ST
REDWOOD CITY
CA
940633132
Tel: 6507238561
| Npi | 1194808394 |
| Pac Id | 1456457407 |
| Professional Enrollment Id | I20070508000234 |
| Last Name | LAKE |
| First Name | DOUGLAS |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | STANFORD HEALTH CARE |
| Group Practice Pac Id | 6709797491 |
| Number Of Group Practice Members | 1934 |
| Line 1 Street Address | 420 BROADWAY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 940633132 |
| Phone Number | 6507238561 |
| Hospital Affiliation Ccn 1 | 160030 |
| Hospital Affiliation Lbn 1 | MARY GREELEY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 160001 |
| Hospital Affiliation Lbn 2 | UNITYPOINT HEALTH-MARSHALLTOWN |
| Hospital Affiliation Ccn 3 | 161372 |
| Hospital Affiliation Lbn 3 | BOONE COUNTY HOSPITAL |
| Hospital Affiliation Ccn 4 | 050441 |
| Hospital Affiliation Lbn 4 | STANFORD HEALTH CARE |
| Hospital Affiliation Ccn 5 | 161333 |
| Hospital Affiliation Lbn 5 | STORY COUNTY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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