National Provider Identifier Database

KAYSE L LAKE, DPM – NPI #1366686800
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

KAYSE L LAKE, DPM
1266 ESCALANTE DR
SUITE 201
DURANGO, CO81303
Phone: 970-253-5303
Fax: 970-259-3510
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for KAYSE L LAKE

NPI Number 1366686800
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/28/2009
Last updated 02/19/2026 - About 3 months ago
Sole proprietor1 No
Identifiers
  • CO License #: 710
  • CO License #: POD.0000710
  • NM License #: 348
  • NM License #: POD348
  • UT License #: 5063880-0501
  • CO Medicaid: 07501552
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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