Gordon Avery Lake

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NPI Number Detailed Information

Provider Information:

Name:	Gordon Avery Lake
Gender:	M
Provider License Number If Given:	G22921

NPI Information:

NPI:	1356379838
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/30/2006
Last Update Date:	1/19/2016

Provider Business Mailing Address:

Address:	350 30TH STREET, SUITE 407 Oakland, CA 94609
Phone Number:	5104190230
Fax Number:	5104190273

Provider Business Practice Location Address:

Address:	350 30TH STREET, SUITE 407 Oakland, CA 94609
Phone Number:	5104190230
Fax Number:	5104190273

Provider Taxonomy:

Primary:	207QA0505X
Secondary (if any):
State:	CA

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About Gordon Avery Lake

Gordon Avery Lake ( GORDON AVERY LAKE ) is Definition Family Medicine Physician in Oakland, CA. The NPI Number for Gordon Avery Lake is 1356379838.

The current location address for Gordon Avery Lake is 350 30TH STREET, SUITE 407 Oakland, CA 94609 and the contact number is 5104190230 and fax number is 5104190273. The mailing address for Gordon Avery Lake is 350 30TH STREET, SUITE 407 Oakland, CA 94609- 5104190230 (mailing address contact number - 5104190230).

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FAQs:

What is the NPI Number for Gordon Avery Lake ?

Answer: The NPI Number for Gordon Avery Lake is 1356379838

Where is Gordon Avery Lake located?

Answer: Gordon Avery Lake is located at 350 30TH STREET, SUITE 407 Oakland, CA 94609.

What is the specialty for Gordon Avery Lake ?

Answer: The Specialty of Gordon Avery Lake is Definition Family Medicine Physician.

Are there any online reviews for Gordon Avery Lake ?

Answer: Not yet!

Are there any other health care providers in Oakland, CA?

Answer: Yes, there are given below...

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