DR. RUSSELL LAKE, MD
Family Medicine
Active
Individual
NPI: 1104081082
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 75198 (GA) |
Frequently Asked Questions
NPI 1104081082 is the National Provider Identifier for DR. RUSSELL LAKE, MD, a Family Medicine provider located in Richmond Hill, GA. This NPI was enumerated on July 21, 2008.
DR. RUSSELL LAKE, MD practices at 10055 FORD AVENUE, SUITE 3A, Richmond Hill, GA 31324.
Quick Facts
- NPI
- 1104081082
- Type
- Individual
- Enumerated
- Jul 21, 2008
- Last Updated
- Oct 19, 2021
Nearby Providers
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CLAYTON MILLER, PA-C
Physician Assistant
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MRS. CATHERINE GRANT, PA-C
Physician Assistant
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KAREN EMENHEISER, LCSW
Social Worker - Clinical
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DR. EDWARD HOFFMAN, M.D.
Internal Medicine
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MRS. CHRISTINA JOHNSON, PA-C
Physician Assistant