MEDICARE: DR. HERBERT VINCENT LAKE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5852	AZ
2	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1558526210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERBERT VINCENT LAKE D.C.

Provider Business Mailing Address
First Line	:	1442 E PARKVIEW DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-6199
Country	:	US
Telephone Number	:	602-692-5116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1052 E INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-4810
Country	:	US
Telephone Number	:	602-279-0090
Fax Number	:	602-279-6985

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	04/16/2018

Similar Medicare Providers

1437257961 — KARNAIL S DHILLON MD
Practice Location Address:

1000 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 602-603-1440
Practice Fax: 602-603-1439

1558435198 — SAMUEL C WALKER NMD PC
Practice Location Address:

1000 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 602-241-9105
Practice Fax: 602-241-9104

1316166986 — DR. EUGENE JAMES D.C.
Practice Location Address:

1052 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 602-279-0090
Practice Fax: 602-279-6985

1073717625 — ASSISTED RECOVERY CENTER OF ARIZONA
Practice Location Address:

1000 E INDIAN SCHOOL RD , #B
PHOENIX, AZ
85014-4810

Practice Phone: 602-264-7897
Practice Fax: 602-264-7403

1790977098 — DR. TAMARA KATAYAMA TORRES ND
Practice Location Address:

1000 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 602-241-9105
Practice Fax: 602-241-9104

1326221201 — KARNAIL S DHILLON MD LLC
Practice Location Address:

1000 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 602-603-1440
Practice Fax: 602-603-1439

1578732178 — NETCOR TRANSPORTS LLC
Practice Location Address:

1010 E INDIAN SCHOOL RD
PHOENIX, AZ
85014-4810

Practice Phone: 623-243-7245
Practice Fax: 480-522-3608

Directions to “ DR. HERBERT VINCENT LAKE D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.