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Susan Lake, D.O
NPI 1306003835 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4550 N Hamilton Rd
Gahanna, OH 43230 - Phone
- (614) 428-8200
- Fax
- (614) 428-9700
- Organisation at this address
- Gahanna Medical Practices Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-21
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 Ohio