NPI | 1619418563 |
---|---|
Doing Business As | LAKE ENDOCRINOLOGY CONSULTING, PLLC |
Entity Type | Organization |
Authorized Contact | BRIAN MATTHEW LAKE Ambr 727-477-1039 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS9591) |
Enumeration Date | 2017-03-12 |
Last Update Date | 2021-05-02 |