Individual provider · Type 1 NPI

Curtis E. Lake

Physician Assistant · Fort Wayne, IN

NPI number 1750892675 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Call (260) 425-6780 Map

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice locations

  • 3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281 · (855) 446-8668

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA68512 (CA)
Physician Assistant Primary 363A00000X10002398 (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750892675

Curtis E. Lake's National Provider Identifier is 1750892675, issued on Oct 18, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 27, 2026.