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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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