National Provider Identifier Database

SPENCER T LAKE, MD – NPI #1316203607
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

SPENCER T LAKE, MD
1304 FAWCETT AVE STE 100
TACOMA, WA  98402
Phone: 253-761-4200
Fax: 253-761-4201
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for SPENCER T LAKE

NPI Number 1316203607
Credentials MD
Entity Individual
Enumeration date 04/11/2012
Last updated 10/15/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • OR License #: MD190332
  • WA License #: MD60852353
  • WA Medicaid: 2101564
  • WA Other: 0391228 LNI-DINW
  • WA Other: 0391226 LNI-TRA KING COUNTY
  • WA Other: 0391224 LNI-TRA REST OF WA
  • WA Other: 0391227 LNI-UAOM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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