NPI: 1619418563
Provider Name: LAKE ENDOCRINOLOGY AND DIABETES, PLLC
Doing Business As: LAKE ENDOCRINOLOGY CONSULTING, PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 10D2210928
Address:
13123 66TH ST
LARGO, FL
ZIP 33773
Phone: (727) 477-1039
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LAKE ENDOCRINOLOGY AND DIABETES, PLLC is an endocrinology and diabetes and metabolism internal medicine in Largo, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LAKE ENDOCRINOLOGY AND DIABETES, PLLC NPI is 1619418563. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Endocrinology Consulting, Pllc.
The provider's business location address is:
13123 66TH ST
LARGO, FL
ZIP 33773-812
Phone: (727) 477-1039
Fax: (727) 477-0498
The provider's authorized official is Brian Matthew Lake .
The authorized official title is Ambr and has the following contact phone number (727) 477-1039.
The CLIA number assigned to this NPI record is 10D2210928 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/12/2017 and was last updated on 5/2/2021.