Individual
DAVID M. LAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
249 REDWOOD RD, SAN ANSELMO, CA 94960-2751
(415) 444-2000
Mailing address
249 REDWOOD RD, SAN ANSELMO, CA 94960-2751
(415) 454-8611
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G22953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G229530
—
CA
Enumeration date
10/25/2006
Last updated
12/11/2007
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