Individual
JOSEPH LAKE TRASK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10030 GILEAD RD STE 201, HUNTERSVILLE, NC 28078-7545
(704) 887-4530
(704) 887-4531
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12800
SC
207RC0000X
Cardiovascular Disease Physician
Primary
2011-01744
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128007
—
SC
Enumeration date
10/06/2005
Last updated
01/26/2024
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