Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN RUSSELL LAKE, M.D.
Active Sole ProprietorDR. JOHN RUSSELL LAKE, M.D. is a Orthopaedic Surgery healthcare provider located in LA MESA, California. NPI 1568497238 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · LA MESA, CA
Registration Details
- NPI Number
- 1568497238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.123514654818 yrs)
- Last Updated
- Jul 9, 2007
- License
-
G14553 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5565 GROSSMONT CENTER DRBLDG 3 SUITE 256LA MESA, CA, 919423020Browse CA providers · Browse ZIP 91942
- Phone
- 6194623131
- Fax
- 6194621731
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Other Orthopaedic Surgery Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| ROMAN B CHAM | MD | 1841252988 |
| DR. BEN DUBOIS | MD | 1790718997 |
| DR. PETER B HANSON | MD | 1841216603 |
| DR. THOMAS FRANCIS MOYAD | MD | 1013921386 |
| ANDREW ELIOT YOO | M.D. | 1437506003 |
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.