Dr John Russell Lake, MD | |
5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 | |
(619) 462-3131 | |
(619) 462-1731 |
Full Name | Dr John Russell Lake |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 5565 Grossmont Center Dr, La Mesa, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568497238 | NPI | - | NPPES |
ZZZ72232Z | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G14553 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr John Russell Lake, MD 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 Ph: (619) 462-3131 | Dr John Russell Lake, MD 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942-3020 Ph: (619) 462-3131 |
Dr. Thomas Francis Moyad, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Drive, Bldg 3, Suite 156, La Mesa, CA 91942 Phone: 619-462-0900 Fax: 619-462-3584 | |
Andrew Eliot Yoo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Blvd, Building 3, Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. John William Miles Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6609 Fax: 619-644-1208 | |
Dr. Ben Dubois, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 | |
Dr. Peter B Hanson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, CA 91942 Phone: 619-462-3131 Fax: 619-462-1731 |