| Edward C Lake Jr, MD | |
|
235 E Chicago St, Coldwater, MI 49036-1783 | |
| (517) 279-8465 | |
| (517) 279-8665 |
| Full Name | Edward C Lake Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 235 E Chicago St, Coldwater, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962456822 | NPI | - | NPPES |
| 1562337 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301043994 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward C Lake Jr, MD 235 E Chicago St, Coldwater, MI 49036-1783 Ph: (517) 279-8465 | Edward C Lake Jr, MD 235 E Chicago St, Coldwater, MI 49036-1783 Ph: (517) 279-8465 |
Dr. John Robert Clark, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 370 E Chicago St Ste 400, Coldwater, MI 49036 Phone: 517-279-8465 Fax: 517-279-8665 | |
Dr. Sabeena Pradhan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 360 E Chicago St, Suite F, Coldwater, MI 49036 Phone: 517-278-6929 Fax: 517-278-1810 |