Gordon Avery Lake, MD is an adult medicine family medicine in Oakland, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Gordon Avery Lake, MD NPI is 1356379838. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
350 30TH STREET, SUITE 407
OAKLAND, CA
ZIP 94609
Phone: (510) 419-0230
Fax: (510) 419-0273
The enumeration date for this NPI number is 6/30/2006 and was last updated on 1/19/2016.