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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 Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KAYSE L LAKE · (Male)

NPI Number 1366686800
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/28/2009
Last updated 02/19/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 710
  • CO License # POD.0000710
  • NM License # 348
  • NM License # POD348
  • UT License # 5063880-0501
  • CO Medicaid 07501552
Hospital affiliation(s)
  • ANIMAS SURGICAL HOSPITAL LLC - (Acute Care)
    575 RIVERGATE LANE
    DURANGO, CO 81301
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    1010 THREE SPRINGS BLVD
    DURANGO, CO 81301
  • PAGOSA MOUNTAIN HOSPITAL - (Critical Access)
    95 SOUTH PAGOSA BOULEVARD
    PAGOSA SPRINGS, CO 81147
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
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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