Brian Matthew Lake in Largo - Endocrinology, Diabetes & Metabolism
Brian Matthew Lake - NPI 1295887040
Brian Matthew Lake is a Endocrinology, Diabetes & Metabolism in Largo, Florida. Brian Matthew Lake practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Brian Matthew Lake is 1295887040. The last update date is 2021-05-02.
Brian Matthew Lake's current location address is 13123 66th St, Largo, Florida. You can contact this provider via phone number 7274771039 and fax number 7274770498. The mailing address for Brian Matthew Lake is 13123 66th St, Largo, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Matthew Lake |
|---|---|
| Address | 13123 66th St, Largo, Florida |
| Phone Number | 7274771039 |
| Fax Number | 7274770498 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1295887040 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2021-05-02 |
Provider Mailing Address Detail
| Address | 13123 66th St |
|---|---|
| City | Largo |
| State | Florida (FL) |
| Post Code | 337731812 |
| Phone Number | 7274771039 |
| Fax Number | 7274770498 |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | 1056 |
|
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106202000 | FL | -- | |
| P00756358 | FL | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian Matthew Lake?
The Brian Matthew Lake has been issued the NPI (National Provider Identifier) 1295887040 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian Matthew Lake is located?
The Brian Matthew Lake is situated at the following address: 13123 66Th St, Largo, FL, 337731812.
What is Brian Matthew Lake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian Matthew Lake is Endocrinology, Diabetes & Metabolism, and the taxonomy code that classifies this field of practice is 207Re0101X.
On what date did the Brian Matthew Lake receive the assignment of its 1295887040 from the Centers for Medicare & Medicaid Services?
The Brian Matthew Lake was issued its 1295887040 by the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the Brian Matthew Lake's details last updated?
The information pertaining to the Brian Matthew Lake, including its address, specialty, and other details, was most recently updated on 2021-05-02.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC