Individual provider · Type 1 NPI

Dennis Lake, MD

Pediatrics Physician · Grand Rapids, MI

NPI number 1700986205 Active

Practice location

710 Kenmoor Ave SE, Suite 110
Grand Rapids, MI 49546-2379

Call (616) 949-6112 Map

Fax (616) 949-8530

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X4301039973 (MI)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1700986205

Dennis Lake, MD's National Provider Identifier is 1700986205, issued on Sep 24, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.