Individual provider · Type 1 NPI

Russell William Lake, MD

Family Medicine Physician · Richmond Hill, GA

NPI number 1104081082 Active

Practice location

10055 Ford Avenue, Suite 3A
Richmond Hill, GA 31324

Call (912) 819-9601 Map

Fax (912) 819-9605

Mailing address

836 E. 65th Street, Suite 22
Savannah, GA 31405

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X31545 (SC)
Family Medicine Physician Primary 207Q00000X75198 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104081082

Russell William Lake, MD's National Provider Identifier is 1104081082, issued on Jul 21, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Richmond Hill, GA. The record was last updated on Oct 19, 2021.