ERIC LAKE, DO

Sports Medicine (Family Medicine) Physician · HAVERTOWN, PA

Individual Active Opted out of Medicare NPI 1710919139

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Sports Medicine (Family Medicine) Physician207QS0010XOS012275PA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Family Practice), effective 2021-04-28 through 2027-04-28.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.