-- GORDON AVERY LAKE MD ⚕️ California 1356379838

NPI	1356379838
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	207QA0505X Family Medicine, Adult Medicine (Licence: CA G22921)
Enumeration Date	2006-06-30
Last Update Date	2016-01-19

-- GORDON AVERY LAKE MD

350 30TH STREET, SUITE 407

OAKLAND, CA 94609

Phone number: 510-419-0230

-- GORDON AVERY LAKE MD

350 30TH STREET, SUITE 407

OAKLAND, CA 94609

Phone number: 510-419-0230