Individual
DR. GEROND V LAKE-BAKAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 RIDGE RD, GOLDEN, CO 80403-1595
(516) 314-8736
Mailing address
2535 S DOWNING ST, STE 380, DENVER, CO 80210-5847
(303) 778-5797
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
164621
NY
207RI0008X
Hepatology Physician
233492
MA
207RI0008X
Hepatology Physician
Primary
57128
CO
207RT0003X
Transplant Hepatology Physician
233492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968378
—
NY
05
—
44705034
—
CO
Enumeration date
12/07/2005
Last updated
12/09/2021
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