Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JEFFEREY LAKE
ActiveJUSTIN JEFFEREY LAKE is a Emergency Medicine healthcare provider located in DAYTON, Ohio. NPI 1710410998 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · DAYTON, OH
Registration Details
- NPI Number
- 1710410998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2017 (9.3412672737545 yrs)
- Last Updated
- Jul 27, 2020
- License
-
34.013545 (OH)
Practice Information
- Address
-
405 W GRAND AVEDAYTON, OH, 454057538Browse OH providers · Browse ZIP 45405
- Phone
- 9377233245
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in DAYTON, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH D LEIBOLD | MD | 1285612952 |
| DOUGLAS E REYNOLDS | MD | 1023096716 |
| DR. JOHN ROBERT DORSCH | D.O. | 1629058821 |
| CHRISTOPHER W TIDWELL | D.O. | 1538134994 |
| MICHAEL S ADY | MD | 1356396568 |
| LARRY ELLIOTT | MD | 1164463360 |
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.