Dr ERIC JAMES LAKE DO is a male medical professional, specializing in Sports Medicine. He graduated in 2001 from Lake Erie College Of Osteopathic Medicine.
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
2004 SPROUL RD
BROOMALL
PA
190083511
Tel: 6103591580
| Npi | 1710919139 |
| Pac Id | 5294738936 |
| Professional Enrollment Id | I20060817000527 |
| Last Name | LAKE |
| First Name | ERIC |
| Middle Name | JAMES |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD |
| Group Practice Pac Id | 5890681092 |
| Number Of Group Practice Members | 163 |
| Line 1 Street Address | 2004 SPROUL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BROOMALL |
| State | PA |
| Zip Code | 190083511 |
| Phone Number | 6103591580 |
| Hospital Affiliation Ccn 1 | 390180 |
| Hospital Affiliation Lbn 1 | CROZER CHESTER MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 390179 |
| Hospital Affiliation Lbn 2 | CHESTER COUNTY HOSPITAL |
| Hospital Affiliation Ccn 3 | 390139 |
| Hospital Affiliation Lbn 3 | BRYN MAWR HOSPITAL |
| Hospital Affiliation Ccn 4 | 390222 |
| Hospital Affiliation Lbn 4 | RIDDLE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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