# DR. NATALIE J LAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912062480
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 59280 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | C134094 | CA | — |
| 207Q00000X | Family Medicine Physician | D73655 | MD | — |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 05/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 441188900 | — | MD |
| 01 | — | 606897000 | DEPT OF LABOR | — |
| 01 | — | 953BAN97701301 | CAREFIRST MARYLAND | — |
| 01 | — | K6400010 | CAREFIRST | — |
| 01 | — | P01208435 | RR MEDICARE | — |