MICHAEL THOMAS LAKE

MIAMI, FL
NPI1730179045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NC  2006-00950)
Additional Taxonomies208600000X Surgery
(Licence: TX  K8647)
Enumeration Date2005-10-27
Last Update Date2014-04-05
Business Address
Dr. MICHAEL THOMAS LAKE M.D.
5950 SW 81ST ST
MIAMI, FL 33143-8120
Phone number: 910-257-4406
Mailing Address
Dr. MICHAEL THOMAS LAKE M.D.
5950 SW 81ST ST
MIAMI, FL 33143-8120
Phone number: 910-257-4406
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