Dr Herbert Vincent Lake, DC is a
Technician/technologist based in Phoenix, Arizona. Dr Herbert Vincent Lake is licensed to practice in * (Not Available) (license number ) and his current practice location is
1052 E Indian School Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(602) 279-0090.
NPI number for Dr Herbert Vincent Lake is 1558526210 and his current mailing address is 1442 E Parkview Dr, Gilbert, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558526210.
Healthcare Provider's Profile
| Full Name | Dr Herbert Vincent Lake |
|---|
| Gender | Male |
|---|
| Speciality | Technician/technologist |
|---|
| Location | 1052 E Indian School Rd, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558526210
- Provider Enumeration Date: 07/22/2008
- Last Update Date: 04/16/2018
Medical Identifiers
Medical identifiers for Dr Herbert Vincent Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558526210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5852 (Arizona) | Secondary |
| 156F00000X | Technician/technologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Herbert Vincent Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Herbert Vincent Lake, DC
1442 E Parkview Dr,
Gilbert, AZ 85295-6199
Ph: (602) 692-5116 | Dr Herbert Vincent Lake, DC
1052 E Indian School Rd,
Phoenix, AZ 85014-4810
Ph: (602) 279-0090 |
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