Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ADRIAN LAKE, M.D.
ActiveMARK ADRIAN LAKE, M.D. is a Dermatology healthcare provider located in LAFAYETTE, Indiana. NPI 1104848423 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LAFAYETTE, IN
Registration Details
- NPI Number
- 1104848423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (20.085998843305 yrs)
- Last Updated
- Jul 23, 2019
- License
-
01055166 (IN)
Practice Information
- Address
-
15 EXECUTIVE DRSUITE 4LAFAYETTE, IN, 479053833Browse IN providers · Browse ZIP 47905
- Phone
- 7658383428
- Fax
- 7658383440
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| JOSEPH EDWARD FRULAND | MD | 1952357337 |
| TAMZIN A ROSENWASSER | — | 1720017361 |
| LORI SIEGERT SWAN | MD | 1518044601 |
| PATRICIA M DYMEK | M.D. | 1427379882 |
| ROBERT SPAULDING | MD | 1871025379 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.