NPI 1124056916

Gary Mathers Lake, MD

Practitioner Otolaryngology Physician Tuscaloosa, AL

Practice location

Address: 1300 McFarland Blvd NE STE 150, Tuscaloosa, AL 35406-2283
Phone: (205) 758-9041
Fax: (205) 345-8328

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 18921 (AL)

Other Otolaryngology providers in Alabama →

Registry record

NPI: 1124056916
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 18 Jul 2024

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.