Andrew E Lake (NPI# 1902918519, PAC ID# 1759381114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1902918519 |
| PAC ID by PECOS | 1759381114 |
| Professional Enrollment ID | I20070109000129 |
| Full Name | Andrew E Lake |
| Address |
40031 Us Hwy 160 Bayfield CO 81122-8746 |
| Gender | M |
| Credential | DC |
| Graduation Year | 2005 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 40031 Us Hwy 160, Bayfield, CO 81122-8746 |
| Street Address |
40031 US HWY 160 |
| City | BAYFIELD |
| State | CO |
| Zip | 81122-8746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline E Bergfalk | Chiropractic | 175 S Clover Dr, Suite 5, Bayfield, CO 81122-1035 | |
| Paula F Mooney | Physical Therapy | 480 Wolverine Dr, Suite 5, Bayfield, CO 81122-2653 | |
| Brian B Meier | Optometry | 49 W Mill St, Bayfield, CO 81122-8021 | |
| Lexi K Querio | Physician Assistant | Total Healthcare | 480 Wolverine Dr, 3 Mercy Family Medicine, Bayfield, CO 81122-9653 |
| Maria D Housley Kolter | Physician Assistant | Total Healthcare | 480 Wolverine Dr, 3 Mercy Family Medicine, Bayfield, CO 81122-9653 |
| City | BAYFIELD |
| Zip Code | 81122 |
| Specialty | CHIROPRACTIC |
| City + Specialty | BAYFIELD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Andrew E Lake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.