Skip to main content
IndividualActivePrescriber

Kenneth B Lake

CRNA

Nurse Anesthetist, Certified Registered

NPI: 1003964024Fontana, California, 92335(909) 427-3910Male

About Kenneth B Lake

Kenneth B Lake, CRNA, is a male healthcare professional specializing in Nurse Anesthetist, Certified Registered, registered under National Provider Identifier (NPI) number 1003964024. Kenneth B Lake received his medical education at OTHER, graduating in 2005.

Their primary practice is located at 9961 SIERRA AVE, Fontana, California 92335. Patients can reach the office at (909) 427-3910. Kenneth B Lake is affiliated with 1 hospital in the area. Kenneth B Lake is authorized to prescribe medications.

Kenneth B Lake has been NPI-registered since 2007.

Key Metrics

Practice Locations

1

Affiliated Hospitals

1

Doctor Details

Identity & Credentials

NPI Number
1003964024
Entity Type
Individual
First Name
Kenneth
Last Name
Lake
Credential
CRNA
Gender
Male
Medical School
OTHER
Graduation Year
2005
Sole Proprietor
No
Status
active

Primary Practice Location

Address
9961 SIERRA AVE
City
Fontana
State
California
ZIP
92335-6720
Country
United States
Phone
(909) 427-3910

Specialty & Taxonomy

Primary Specialty
Nurse Anesthetist, Certified Registered
Classification
Nurse Anesthetist, Certified Registered
Taxonomy Code
367500000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
9961 SIERRA AVE
City
FONTANA
State
CA
ZIP
923356720

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Kenneth B Lake's NPI number?
Kenneth B Lake's National Provider Identifier (NPI) is 1003964024. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kenneth B Lake specialize in?
Kenneth B Lake specializes in Nurse Anesthetist, Certified Registered. They received their medical education at OTHER (class of 2005).
Where is Kenneth B Lake located?
Kenneth B Lake practices at 9961 SIERRA AVE, Fontana, California 92335. You can reach them by phone at (909) 427-3910.
Does Kenneth B Lake accept Medicare?
Based on available data, Kenneth B Lake is not currently enrolled in the Medicare program.
Does Kenneth B Lake offer telehealth or virtual visits?
Kenneth B Lake does not currently offer telehealth services. In-person visits are required at their practice location.
Can Kenneth B Lake prescribe medications?
Yes, Kenneth B Lake is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kenneth B Lake is 1003964024.