Search › Florida › 207RE0101X
Brian Lake, D.O
NPI 1295887040 · on the registry since 2007 · sole proprietor
Practice
- Address
- 13123 66th St
Largo, FL 33773 - Phone
- (727) 477-1039
- Fax
- (727) 477-0498
- Organisation at this address
- Lake Endocrinology And Diabetes, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207R00000X
207RE0101X - Licence states on file
- FL, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida