MEDICARE: DR. STANLEY LAKE ALEXANDER M.D.

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	208200000X	Plastic Surgery Physician	35038388A	OH
2	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	35038388A	OH

General Provider Information

NPI Number	:	1992843031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY LAKE ALEXANDER M.D.

Provider Business Mailing Address
First Line	:	4116 SPRINGBORO RD
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-9607
Country	:	US
Telephone Number	:	513-932-2604
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 IRONGATE PARK DR
Second Line	:
City	:	CENTERVILLE FINANCE
State	:	OH
Zip	:	45459-4616
Country	:	US
Telephone Number	:	937-439-5500
Fax Number	:	937-439-5375

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

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1871505115 — CISTY JANE KARACIA MSSW, LISW
Practice Location Address:

23 IRONGATE PARK DR
CENTERVILLE FINANCE, OH
45459-4616

Practice Phone: 937-436-1600
Practice Fax: 937-436-2467

1376631713 — SOUTHWESTERN OHIO BEHAVIORAL HEALTH,LLC
Practice Location Address:

35 IRONGATE PARK DR
CENTERVILLE, OH
45459-4616

Practice Phone: 937-435-8864
Practice Fax: 937-435-8264

1205195633 — ROBIN L SHAMPTON LPCC-S
Practice Location Address:

43 IRON GATE PARK DR
CENTERVILLE, OH
45459-4616

Practice Phone: 937-204-3867
Practice Fax:

1457713547 — DR. ADAM JOHN ROWE M.D.
Practice Location Address:

43 IRONGATE PARK DR
CENTERVILLE, OH
45459-4616

Practice Phone: 888-279-0002
Practice Fax:

1285081307 — DR. STEPHEN FORTSON ED.D. PCC-S
Practice Location Address:

51 IRONGATE PARK DR
CENTERVILLE, OH
45459-4616

Practice Phone: 937-439-4220
Practice Fax:

1093166886 — MELISSA STROMBECK, IMFT
Practice Location Address:

51 IRONGATE PARK DR
CENTERVILLE, OH
45459-4616

Practice Phone: 937-439-4220
Practice Fax:

Directions to “ DR. STANLEY LAKE ALEXANDER M.D.” 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 © 2007-2026 (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.