Christopher P Lake
Family Doctor Family Doctor - Sports Medicine
8200 Meadowbridge Rd Ste 200
Mechanicsville
, Virginia 23116
Christopher P Lake
Family Doctor Family Doctor - Sports Medicine
8200 Meadowbridge Rd Ste 200
Mechanicsville
, Virginia 23116
(804) 560-9029
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Christopher P Lake
- 1115 Boulders Pkwy Ste 200
- North Chesterfield, VA
- Zip : 23225-4067
- Fax : (804) 560-9029
- Phone : (804) 560-5595
Second Address
- Christopher P Lake
- 8200 Meadowbridge Rd Ste 200
- Mechanicsville, VA
- Zip : 23116
- Phone : (804) 730-2121
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 2018-01738 | NC |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 0101266188 | VA |
National Provider Identifier
| NPI | 1104203496 |
|---|---|
| Provider Name | Christopher P Lake |
| First Address | North Chesterfield, VA 23225-4067 |
| Second Address | Mechanicsville, VA 23116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2015 |
| Last Update Date | 03/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.