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1629154141
ROGER F. LAKE
SAN JOSE, CA
NPI
1629154141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G39126)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
ROGER F. LAKE MD
260 INTERNATIONAL CIR
SAN JOSE, CA 95119-1130
Phone number: 408-972-7000
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Mailing Address
ROGER F. LAKE MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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