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Individual

DR. FRANK LAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 535-3393
(770) 503-0579
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
Primary
11972
GA
2085R0001X
Radiation Oncology Physician
011972
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116168A
GA
Enumeration date
08/09/2005
Last updated
04/08/2025
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