MR. GARY WILLIAM LAKE ATC
NPI 1598738825
Specialist/Technologist - Athletic Trainer in Wadsworth, OH
About Mr. Gary William Lake Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARY WILLIAM LAKE ATC (NPI 1598738825) is an individual athletic trainer provider in Wadsworth, Ohio, licensed in Ohio (AT000402) and active in the NPI registry since February 2006.
NPPES Registry Identity
Specialties & Licenses
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 Gary Lake's NPI number?
The NPI number for Gary Lake is 1598738825. It was assigned to this individual provider in the NPPES registry on February 8, 2006.
Where is Gary Lake located?
Gary Lake practices at 437 Barrenwood Dr, Wadsworth, OH 44281. The listed phone number is (330) 336-9398.
What is Gary Lake's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.
When was this NPI record last updated?
The NPPES record for Gary Lake was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.