Individual
ADAM W LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC, CSCS
Contact information
Practice address
29800 BAINBRIDGE RD, CLEVELAND CLINIC SPORTS HEALTH, SOLON, OH 44139-2202
(440) 914-8603
Mailing address
281 BEELER DR, BEREA, OH 44017-1438
(440) 554-8641
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-002230
OH
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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