Lake, Mark Adrian

Lake, Mark Adrian is an individual health care provider with primary practice located at 15 Executive Dr Suite 4, Lafayette IN 47905-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lake, Mark Adrian can be contacted via phone (765) 838-3428.

Contact Information

Primary practice address
15 Executive Dr Suite 4 Lafayette IN 47905-3833
Phone: (765) 838-3428
Fax: (765) 838-3440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01055166 Indiana

Profile Details

NPI number 1104848423
LBN Legal business name Lake, Mark Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 23rd, 2019 - about 7 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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