Individual
DR. DAVID ALAN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 HAMILTON AVE STE 202, PALO ALTO, CA 94301-2030
(650) 321-1916
(650) 321-1916
Mailing address
3173 SOUTH CT, PALO ALTO, CA 94306-2948
(650) 380-3243
(650) 321-1916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G29785
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G29785
CA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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