Organization
FOUR CORNERS FOOT AND ANKLE P.C.
Active
Organization
FOUR CORNERS FOOT AND ANKLE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYSE L LAKE DPM (OWNER)
(970) 259-5303
Entity
Organization
Contact information
Practice address
2700 FARMINGTON AVE BLDG C, STE 1, FARMINGTON, NM 87401-4550
(505) 327-4044
(970) 259-3510
Mailing address
1266 ESCALANTE DR, SUITE 201, DURANGO, CO 81301
(970) 259-5303
(970) 259-3510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
02/19/2026
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