Individual
DR. NATALIE J LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 N ESTRELLA PKWY STE 40, GOODYEAR, AZ 85338-9279
(623) 889-3477
(623) 889-3478
Mailing address
PO BOX 5204, GOODYEAR, AZ 85338-0603
(623) 889-3477
(623) 889-3478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59280
AZ
207Q00000X
Family Medicine Physician
C134094
CA
207Q00000X
Family Medicine Physician
D73655
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441188900
—
MD
01
—
606897000
DEPT OF LABOR
—
01
—
953BAN97701301
CAREFIRST MARYLAND
—
01
—
K6400010
CAREFIRST
—
01
—
P01208435
RR MEDICARE
—
Enumeration date
12/26/2006
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us