Individual
THOMAS ROSSER LAKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 MONMOUTH RD, OAKHURST, NJ 07755-1515
(732) 531-5445
(732) 531-1776
Mailing address
255 MONMOUTH RD, OAKHURST, NJ 07755-1515
(732) 531-5445
(732) 531-1776
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA07084700
NJ
Other
Enumeration date
02/21/2006
Last updated
02/04/2013
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