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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY MATHERS LAKE III, MD

Active

MR. GARY MATHERS LAKE III, MD is a Otolaryngology healthcare provider located in TUSCALOOSA, Alabama. NPI 1124056916 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · TUSCALOOSA, AL

Registration Details

NPI Number
1124056916
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.147521121828 yrs)
Last Updated
Jul 18, 2024
License
18921 (AL)

Practice Information

Address
1300 MCFARLAND BLVD NE
STE 150
TUSCALOOSA, AL, 354062283
Browse AL providers · Browse ZIP 35406
Phone
2057589041
Fax
2053458328
Primary Specialty
Otolaryngology
207Y00000X

Other Otolaryngology Providers in TUSCALOOSA, AL

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.