Lake, Brad M
Lake, Brad M is an individual health care provider with primary practice located at 15770 Paul Vega Md Dr Ste 204 , Hammond LA 70403-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lake, Brad M can be contacted via phone (985) 230-7860.Contact Information
Primary practice address
15770 Paul Vega Md Dr Ste 204
Hammond LA 70403-1475
Phone: (985) 230-7860
Fax: (985) 230-7861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD.205375 | Louisiana |
Profile Details
| NPI number | 1922205160 |
|---|---|
| LBN Legal business name | Lake, Brad M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Dec 9th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922205160 | NPPES |
| Louisiana | MEDICAID | 2301853 |
Popular Providers
-
Daniels, George F
104 Technology Drive Suite 204, Butler PA 16001-1801 -
Morton, Jon J
111 S 90Th St , Omaha NE 68114-3907 -
Buchanan, Christopher T
1209 Medical Plaza Ct , Granbury TX 76048-5684 -
Chiang, Jason
42439 Pelican Professional Park , Hammond LA 70403-2405 -
Kidd, Robert B
15770 Paul Vega Md Dr , Hammond LA 70403-1475 -
Stout, Lisa
1060 E 100 S Ste 110, Salt Lake City UT 84102-1591 -
Ogbolu, Francis N
9163 N County Road 25A , Piqua OH 45356-4524 -
Graham, Stephen M
15813 Paul Vega Md Dr Suite 201-A, Hammond LA 70403-1426