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Search › Indiana › Dermatology Physician

Mark Lake, M.D

NPI 1104848423 · on the registry since 2006

Practice

Address
15 Executive Dr
Suite 4
Lafayette, IN 47905
Phone
(765) 838-3428
Fax
(765) 838-3440
Organisation at this address
Lake Dermatology Inc.
National Mentor Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Dermatology Physician
207N00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana