| Dr Eric J Lake, DO | |
|
525 W Chester Pike, Suite 203, Havertown, PA 19083-4500 | |
| (610) 789-7767 | |
| (610) 789-7768 |
| Full Name | Dr Eric J Lake |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Sports Medicine |
| Location | 525 W Chester Pike, Havertown, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710919139 | NPI | - | NPPES |
| 1016353100001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | OS012275 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric J Lake, DO 525 W Chester Pike, Suite 203, Havertown, PA 19083-4500 Ph: (610) 789-7767 | Dr Eric J Lake, DO 525 W Chester Pike, Suite 203, Havertown, PA 19083-4500 Ph: (610) 789-7767 |
Mitchell F Shmokler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 W Chester Pike, Suite 201, Havertown, PA 19083 Phone: 610-853-2900 Fax: 610-853-2980 | |
Raymond P Ferraro, PA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2510 W Township Line Rd, Havertown, PA 19083 Phone: 484-450-4500 Fax: 484-450-0575 | |
Alex Ricciuti, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34 Brookline Blvd, Havertown, PA 19083 Phone: 610-449-9838 | |
Elliott L Schaffer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 W Chester Pike, Suite 201, Havertown, PA 19083 Phone: 610-853-2900 Fax: 610-853-2980 | |
Dr. Robert J Cabry Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 W Chester Pike, Suite 203, Havertown, PA 19083 Phone: 610-789-7767 Fax: 610-789-7768 | |
Nishikanta Singh Elangbam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 W Eagle Rd, Havertown, PA 19083 Phone: 484-452-9400 | |
Dr. Lisa A Kenis, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2 N Belfield Ave, Havertown, PA 19083 Phone: 610-733-2819 |