Individual provider · Type 1 NPI

Gary Mathers Lake Iii, MD

Otolaryngology Physician · Tuscaloosa, AL

NPI number 1124056916 Active

Practice location

1300 Mcfarland Blvd NE, Ste 150
Tuscaloosa, AL 35406-2283

Fax (205) 345-8328

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X18921 (AL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1124056916

Gary Mathers Lake Iii, MD's National Provider Identifier is 1124056916, issued on Jun 29, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jul 18, 2024.