NPI 1922205160

Brad M Lake, MD

Practitioner Urology Physician Hammond, LA

Practice location

Address: 15770 Paul Vega MD Dr STE 204, Hammond, LA 70403-1475
Phone: (985) 230-7860
Fax: (985) 230-7861
Mailing address: PO Box 2668, Hammond, LA 70404-2668

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD.205375 (LA)

Other Urology providers in Louisiana →

Registry record

NPI: 1922205160
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2007
Record last updated: 9 Dec 2022

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.