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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BYRON FISK LAKE, M.D.

Active

BYRON FISK LAKE, M.D. is a Family Medicine healthcare provider located in GRASS VALLEY, California. NPI 1891832242 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRASS VALLEY, CA

Registration Details

NPI Number
1891832242
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2007 (19.348724447722 yrs)
Last Updated
Feb 20, 2014
License
G58831 (CA)

Practice Information

Address
300 SIERRA COLLEGE DR STE 170
GRASS VALLEY, CA, 959455083
Browse CA providers · Browse ZIP 95945
Phone
5302734376
Fax
5302736426
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRASS VALLEY, CA

Name Credential NPI
DR. JAMES WILLIAM NICHOL M.D. 1114924966
DR. BURNELL VASSAR M.D. 1548268386
DR. GARRETT M. ECKERLING M.D. 1215937388
DR. FRANK JOHN LANG JR. M.D. 1417942939
VERONICA S MINIER MD 1720050909
JILL ELIZABETH FITZPATRICK MD 1689640658
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.