Individual
DR. JAMES HENRY LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CASS ST, SUITE 8, MONTEREY, CA 93940-4536
(831) 644-9125
Mailing address
1015 CASS ST, SUITE 8, MONTEREY, CA 93940-4536
(831) 644-9125
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G77237
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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