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:
Health care specialties
| Specialty | Code | License # | 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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