BRAD M LAKE

HAMMOND, LA
NPI1922205160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: LA  MD.205375)
Enumeration Date2007-06-29
Last Update Date2022-12-09
Business Address
Dr. BRAD M LAKE M.D.
15770 PAUL VEGA MD DR STE 204
HAMMOND, LA 70403-1475
Phone number: 985-230-7860
Mailing Address
Dr. BRAD M LAKE M.D.
PO BOX 2668
HAMMOND, LA 70404-2668
Phone number: 985-230-7860