Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC J LAKE, DO
ActiveDR. ERIC J LAKE, DO is a Sports Medicine healthcare provider located in HAVERTOWN, Pennsylvania. NPI 1710919139 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · HAVERTOWN, PA
Registration Details
- NPI Number
- 1710919139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.13592032104 yrs)
- Last Updated
- Jul 18, 2012
- License
-
OS012275 (PA)
Practice Information
- Address
-
525 W CHESTER PIKESUITE 203HAVERTOWN, PA, 190834500Browse PA providers · Browse ZIP 19083
- Phone
- 6107897767
- Fax
- 6107897768
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in HAVERTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT J CABRY JR. | MD | 1326093352 |
| ADAM MICHAEL THOMPSON | D.O. | 1770933814 |
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.