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Gary Lake, ATC
NPI 1598738825 · on the registry since 2006
Practice
- Address
- 437 Barrenwood Dr
Wadsworth, OH 44281 - Phone
- (330) 336-9398
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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