Search › California › 122300000X
Craig Lake
NPI 1598879454 · on the registry since 2006
Practice
- Address
- 345 Tachevah Dr
Ste 1
Palm Springs, CA 92262 - Phone
- (760) 327-1138
- Fax
- (760) 327-2826
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 California