Whalio Doctors

NPI 1194808394

Douglas R. Lake, MD

Practitioner Diagnostic Radiology Physician Ames, IA

Practice location

Address
1215 Duff Avenue, Ames, IA 50010-3014
Phone
(515) 239-4456
Fax
(515) 239-4761
Mailing address
PO Box 3014 1215 Duff Avenue, Ames, IA 50010-3014

Registered specialties (4)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 37861 (IA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 23902 (SC)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 24188 (NE)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence A99351 (CA)

Registry record

NPI
1194808394
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Oct 2006
Record last updated
3 Nov 2020

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.