Dr JEFFREY P LAKE MD is a male medical professional, specializing in Colorectal Surgery (proctology). He graduated in 1999 from Baylor College Of Medicine.
JEFFREY P. LAKE, M.D., INC.
16311 VENTURA BLVD
SUITE 505
ENCINO
CA
914364309
Tel: 8183878725
| Npi | 1326006024 |
| Pac Id | 8123030335 |
| Professional Enrollment Id | I20060706000227 |
| Last Name | LAKE |
| First Name | JEFFREY |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | JEFFREY P. LAKE, M.D., INC. |
| Group Practice Pac Id | 4587852868 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 16311 VENTURA BLVD |
| Line 2 Street Address | SUITE 505 |
| Marker Of Address Line 2 Suppression | |
| City | ENCINO |
| State | CA |
| Zip Code | 914364309 |
| Phone Number | 8183878725 |
| Hospital Affiliation Ccn 1 | 050761 |
| Hospital Affiliation Lbn 1 | PROVIDENCE TARZANA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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