JOHN RUSSELL LAKE

LA MESA, CA
NPI1568497238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: CA  G14553)
Enumeration Date2006-07-11
Last Update Date2007-07-09
Business Address
DR. JOHN RUSSELL LAKE M.D.
5565 GROSSMONT CENTER DR BLDG 3 SUITE 256
LA MESA, CA 91942-3020
Phone number: 619-462-3131
Mailing Address
DR. JOHN RUSSELL LAKE M.D.
5565 GROSSMONT CENTER DR BLDG 3 SUITE 256
LA MESA, CA 91942-3020
Phone number: 619-462-3131
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