Angel Anthony Lake in Christiansted - Internal Medicine

Angel Anthony Lake - NPI 1205978335

Angel Anthony Lake is a Internal Medicine in Christiansted, Virgin Islands. Angel Anthony Lake practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Angel Anthony Lake is 1205978335. The last update date is 2010-08-26.

Angel Anthony Lake's current location address is 4007 Diamond Ruby, Christiansted, Virgin Islands. You can contact this provider via phone number 3407786311. The mailing address for Angel Anthony Lake is 4007 Diamond Ruby, Christiansted, Virgin Islands. To know further, please read the information below!

Provider Profile Detail

Provider Name Angel Anthony Lake
Address 4007 Diamond Ruby, Christiansted, Virgin Islands
Phone Number 3407786311
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1205978335
Provider Enumeration Date 2007-02-13
Last Updated Date 2010-08-26

Provider Mailing Address Detail

Address 4007 Diamond Ruby
City Christiansted
State Virgin Islands (VI)
Post Code 820
Phone Number 3407786311
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 1365
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1365 VI VI LIC NUMBER

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FAQs about Angel Anthony Lake

What is the unique 10-digit identifier code issued to Angel Anthony Lake by the Centers for Medicare & Medicaid Services?

The Angel Anthony Lake has been assigned the NPI (National Provider Identifier) 1205978335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Angel Anthony Lake is physically located?

The Angel Anthony Lake is physically situated at the following address: 4007 Diamond Ruby, Christiansted, VI, 820.

What is Angel Anthony Lake's area of expertise and its corresponding taxonomy classification?

The Angel Anthony Lake's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Angel Anthony Lake receive its 1205978335 assignment from the Centers for Medicare & Medicaid Services?

The Angel Anthony Lake was assigned its 1205978335 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Angel Anthony Lake's details last updated?

The information pertaining to the Angel Anthony Lake, including its address, specialty, and other details, was most recently updated on 2010-08-26.

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