Gene (Gerald) Eugene Lake in San Diego - Psychiatry

Gene (Gerald) Eugene Lake - NPI 1871718528

Gene (Gerald) Eugene Lake is a Psychiatry in San Diego, California. Gene (Gerald) Eugene Lake practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Gene (Gerald) Eugene Lake is 1871718528. The last update date is 2007-07-08.

Gene (Gerald) Eugene Lake's current location address is 230 W Laurel St, San Diego, California. You can contact this provider via phone number 6195951564 and fax number 8587208285. The mailing address for Gene (Gerald) Eugene Lake is 230 W Laurel St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gene (Gerald) Eugene Lake
Address 230 W Laurel St, San Diego, California
Phone Number 6195951564
Fax Number 8587208285
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1871718528
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 230 W Laurel St
City San Diego
State California (CA)
Post Code 921011461
Phone Number 6195951564
Fax Number 8587208285

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No G20748
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Gene (Gerald) Eugene Lake

What is the Gene (Gerald) Eugene Lake's 1871718528?

The Gene (Gerald) Eugene Lake's NPI (National Provider Identifier) Number is 1871718528. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gene (Gerald) Eugene Lake's facilities are geographically located?

The facilities of Gene (Gerald) Eugene Lake are physically situated at the following location: 230 W Laurel St, San Diego, CA, 921011461.

What is Gene (Gerald) Eugene Lake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gene (Gerald) Eugene Lake is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1871718528 to Gene (Gerald) Eugene Lake?

The Centers for Medicare & Medicaid Services originally issued the 1871718528 to Gene (Gerald) Eugene Lake on 2007-04-16.

As of what date was the information regarding Gene (Gerald) Eugene Lake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gene (Gerald) Eugene Lake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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