John T Lake is a Psychiatry in Cape Girardeau, Missouri. John T Lake practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John T Lake is 1629270194. The last update date is 2018-08-01.
John T Lake's current location address is 60 Doctors Park Lowr Level, Cape Girardeau, Missouri. You can contact this provider via phone number 5735194949 and fax number 5735194665. The mailing address for John T Lake is 60 Doctors Park Lowr Level, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T Lake |
|---|---|
| Address | 60 Doctors Park Lowr Level, Cape Girardeau, Missouri |
| Phone Number | 5735194949 |
| Fax Number | 5735194665 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629270194 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2018-08-01 |
Provider Mailing Address Detail
| Address | 60 Doctors Park Lowr Level |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637034928 |
| Phone Number | 5735194949 |
| Fax Number | 5735194665 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 108382 |
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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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What is the unique identifier code issued to John T Lake by the Centers for Medicare & Medicaid Services?
The John T Lake has been assigned the NPI (National Provider Identifier) 1629270194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John T Lake's facilities are geographically located?
The facilities of John T Lake are physically situated at the following location: 60 Doctors Park Lowr Level, Cape Girardeau, MO, 637034928.
What is John T Lake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John T Lake's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did the John T Lake receive its 1629270194?
The John T Lake was issued its 1629270194 on 2007-06-05, which is the date when the organization was assigned this unique identifier.
As of what date were the John T Lake's details last updated?
The information pertaining to the John T Lake, including its address, specialty, and other details, was most recently updated on 2018-08-01.
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