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

DR. BRAD M LAKE, M.D.

Active

DR. BRAD M LAKE, M.D. is a Urology healthcare provider located in HAMMOND, Louisiana. NPI 1922205160 is currently active in the NPPES registry. Verify at CMS.

Urology · HAMMOND, LA

Registration Details

NPI Number
1922205160
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2007 (19.142431495994 yrs)
Last Updated
Dec 9, 2022
License
MD.205375 (LA)

Practice Information

Address
15770 PAUL VEGA MD DR STE 204
HAMMOND, LA, 704031475
Browse LA providers · Browse ZIP 70403
Phone
9852307860
Fax
9852307861
Primary Specialty
Urology
208800000X

Other Urology Providers in HAMMOND, LA

Name Credential NPI
DR. ROBERT B KIDD M.D. 1053378166
DR. R. VINCENT KIDD III MD 1780771071
JAY W HEINTZ MD 1194928168
DR. STEPHEN M GRAHAM MD 1467650804
JASON CHIANG 1326433756
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.