Natalie J Lake is a Family Medicine in Goodyear, Arizona. Natalie J Lake practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Natalie J Lake is 1912062480. The last update date is 2021-01-19.
Natalie J Lake's current location address is Po Box 5204, Goodyear, Arizona. You can contact this provider via phone number 6238893477 and fax number 6238893478. The mailing address for Natalie J Lake is Po Box 5204, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Natalie J Lake |
|---|---|
| Address | Po Box 5204, Goodyear, Arizona |
| Phone Number | 6238893477 |
| Fax Number | 6238893478 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912062480 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2021-01-19 |
Provider Mailing Address Detail
| Address | Po Box 5204 |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853380603 |
| Phone Number | 6238893477 |
| Fax Number | 6238893478 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C134094 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 606897000 | DEPT OF LABOR | ||
| K6400010 | CAREFIRST | ||
| 441188900 | MD | -- | |
| 953BAN97701301 | CAREFIRST MARYLAND | ||
| P01208435 | RR MEDICARE |
Post Comment/ Review Below
What is the Natalie J Lake's unique identification number?
The Natalie J Lake has been assigned the NPI (National Provider Identifier) Number 1912062480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Natalie J Lake's physical address?
The Natalie J Lake is physically located at Po Box 5204, in the city of Goodyear, AZ, with the postal code 853380603.
What is Natalie J Lake's specialized field of practice, and what is the corresponding taxonomy classification code?
The Natalie J Lake's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did the Natalie J Lake receive its 1912062480?
The Natalie J Lake was issued its 1912062480 on 2006-12-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Natalie J Lake's details last updated?
The information pertaining to the Natalie J Lake, including its address, specialty, and other details, was most recently updated on 2021-01-19.
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