Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID LAKE GORMSEN, D.O.
Active Sole ProprietorDR. DAVID LAKE GORMSEN, D.O. is a Pediatric Emergency Medicine healthcare provider located in CANTON, Ohio. NPI 1619014602 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · CANTON, OH
Registration Details
- NPI Number
- 1619014602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.562710953806 yrs)
- Last Updated
- Jul 8, 2007
- License
-
34002838 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 MERCY DR NWCANTON, OH, 447082614Browse OH providers · Browse ZIP 44708
- Phone
- 3304891074
- Fax
- 3304891487
- Primary Specialty
-
Pediatric Emergency Medicine
207PP0204X
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.