Lake, Jeffrey Preston
Lake, Jeffrey Preston is an individual health care provider with primary practice located at 16311 Ventura Blvd Suite 505, Encino CA 91436-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Lake, Jeffrey Preston can be contacted via phone (818) 645-5920.Contact Information
Primary practice address
16311 Ventura Blvd Suite 505
Encino CA 91436-2124
Phone: (818) 645-5920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | A73315 | California |
Profile Details
| NPI number | 1326006024 |
|---|---|
| LBN Legal business name | Lake, Jeffrey Preston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Sep 13th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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