ROGER LAKE, MD
Family Medicine
Active
Individual
NPI: 1629154141
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | G39126 (CA) |
Frequently Asked Questions
NPI 1629154141 is the National Provider Identifier for ROGER LAKE, MD, a Family Medicine provider located in San Jose, CA. This NPI was enumerated on October 27, 2006.
ROGER LAKE, MD practices at 260 INTERNATIONAL CIR, San Jose, CA 95119.
Quick Facts
- NPI
- 1629154141
- Type
- Individual
- Enumerated
- Oct 27, 2006
- Last Updated
- Jul 8, 2007
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