NPI 1063237360

Angel Lake, MD

Organisation Internal Medicine Physician Christiansted, VI

Practice location

Address: 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Phone: (340) 332-3665
Fax: (210) 682-9509
Mailing address: PO Box 1051, Christiansted, VI 00821-1051

Authorised official

Name: Angel Lake
Title: Physician/Owner
Phone: (340) 332-3665

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in U.S. Virgin Islands →

Registry record

NPI: 1063237360
Entity type: Organization
NPI issued: 20 Nov 2024
Record last updated: 13 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.