Individual
SCOTT A LAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5807 W MAPLE RD STE 175, WEST BLOOMFIELD, MI 48322-4483
(248) 255-4380
(248) 255-4381
Mailing address
PO BOX 251742, WEST BLOOMFIELD, MI 48325-1742
(248) 255-4380
(248) 255-4381
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301086396
MI
Other
Enumeration date
06/08/2006
Last updated
07/22/2024
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