DR. SUSAN E LAKE D.O
NPI 1306003835
Family Medicine in Gahanna, OH

Q: What is Susan Lake's NPI number?

The NPI number for Susan Lake is 1306003835. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Q: What is Susan Lake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Lake was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 21, 2008

4550 N HAMILTON RD, GAHANNA, OH 43230(614) 428-8200(614) 428-9700 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Susan E Lake D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN E LAKE D.O (NPI 1306003835) is an individual family medicine provider in Gahanna, Ohio, licensed in Ohio (34005856) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1306003835

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUSAN E LAKECredential: D.O

Location Address4550 N HAMILTON RDGahanna, OH 43230-1714

Mailing Address4550 N Hamilton RdGahanna, OH 43230-1714 · (614) 428-8200 · Fax (614) 428-9700

Phone(614) 428-8200

Fax(614) 428-9700

Sole ProprietorYes

Enumeration DateMay 21, 2008

✔ NPI 1306003835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34005856

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4550 N HAMILTON RD, Gahanna, OH 43230

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Other Identifiers 4

Other34005856OH · State Lic

Medicare UPINF99125OH

Medicare PIN0778757OH

Medicaid0132412OH

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAHANNA MEDICAL PRACTICES INC

Family Medicine

4550 N HAMILTON RD
GAHANNA, OH 43230

Franklin County (614) 428-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Lake's NPI number?

The NPI number for Susan Lake is 1306003835. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Susan Lake located?

Susan Lake practices at 4550 N Hamilton Rd, Gahanna, OH 43230. The listed phone number is (614) 428-8200.

What is Susan Lake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Lake was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.