Individual
DR. JOSEPHINE H LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13801 REESE BLVD WEST, SUITE 150, HUNTERSVILLE, NC 28078
(704) 274-8006
(704) 997-3058
Mailing address
LAKE INTERNAL MEDICINE AND PEDIATRICS, PLLC, 13801 REESE BLVD WEST SUITE 150, HUNTERSVILLE, NC 28078
(704) 274-8006
(704) 997-3058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800943
NC
208000000X
Pediatrics Physician
9800943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891180C
—
NC
Enumeration date
06/22/2006
Last updated
02/27/2025
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