Individual
DR. SPENCER TRUMAN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD190332
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60852353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0391224
LNI-TRA REST OF WA
WA
01
—
0391226
LNI-TRA KING COUNTY
WA
01
—
0391227
LNI-UAOM
WA
01
—
0391228
LNI-DINW
WA
05
—
2101564
—
WA
Enumeration date
04/11/2012
Last updated
10/15/2025
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