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NPI Verification

National Provider Identifier: 1922205160

Brad M Lake, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

15770 PAUL VEGA MD DR STE 204

HAMMOND, LA 704031475

Phone: 985-230-7860

NPI Enumeration Date

June 29, 2007

NPI Number

1922205160

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry