Individual provider · Type 1 NPI
Nicholas Heller Lake, MD
Orthopaedic Hand Surgery Physician · Portsmouth, VA
NPI number
1669851416
Active
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | 2020-02932 (NC) |
| Orthopaedic Hand Surgery Physician Primary | 207XS0106X | 29393 (NE) |
Orthopaedic Hand Surgery Physician: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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About NPI 1669851416
Nicholas Heller Lake, MD's National Provider Identifier is 1669851416, issued on May 27, 2015. The primary taxonomy on file is Orthopaedic Hand Surgery Physician (207XS0106X), and the practice location is in Portsmouth, VA. The record was last updated on Aug 23, 2022.