LAKE ENDOCRINOLOGY AND DIABETES, PLLC

LARGO, FL
NPI1619418563
Doing Business AsLAKE ENDOCRINOLOGY CONSULTING, PLLC
Entity TypeOrganization
Authorized ContactBRIAN MATTHEW LAKE
Ambr
727-477-1039
Organization Subpart ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Additional Taxonomies261QM2500X Clinic/Center, Medical Specialty
(Licence: FL  OS9591)
Enumeration Date2017-03-12
Last Update Date2021-05-02
Business Address
LAKE ENDOCRINOLOGY AND DIABETES, PLLC
13123 66TH ST
LARGO, FL 33773-1812
Phone number: 727-477-1039
Mailing Address
LAKE ENDOCRINOLOGY AND DIABETES, PLLC
13123 66TH ST
LARGO, FL 33773-1812
Phone number: 727-477-1039