Individual
DR. ADAM JOHN LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 BROWNING PL STE 201, RALEIGH, NC 27609-6530
(919) 787-7125
(919) 781-9952
Mailing address
3900 BROWNING PL STE 201, RALEIGH, NC 27609-6530
(919) 787-7125
(919) 781-9952
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018-02470
NC
390200000X
Student in an Organized Health Care Education/Training Program
228550
NC
Other
Enumeration date
05/04/2017
Last updated
05/12/2021
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