Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY WILLIAM LAKE, ATC
ActiveMR. GARY WILLIAM LAKE, ATC is a Athletic Trainer healthcare provider located in WADSWORTH, Ohio. NPI 1598738825 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WADSWORTH, OH
Registration Details
- NPI Number
- 1598738825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.487440972304 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT000402 (OH)
Practice Information
- Address
-
437 BARRENWOOD DRWADSWORTH, OH, 442811085Browse OH providers · Browse ZIP 44281
- Phone
- 3303369398
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in WADSWORTH, OH
| Name | Credential | NPI |
|---|---|---|
| LINDSAY R. JAMES | LAT | 1134198997 |
| MEGAN LYNN DEAN | ATC | 1740217439 |
| COLE ROBERT MILLER | — | 1083282909 |
| KELSIE MARIE CORRIGAN | — | 1326993502 |
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.