MEDICARE: JOSEPH LAKE TRASK SR. MD

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	207RC0000X	Cardiovascular Disease Physician	2011-01744	NC
2	207RC0000X	Cardiovascular Disease Physician	12800	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871580688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH LAKE TRASK SR. MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-343-9800
Fax Number	:	704-347-2011

Provider Business Practice Location Address
First Line	:	10030 GILEAD RD STE 201
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7545
Country	:	US
Telephone Number	:	704-887-4530
Fax Number	:	704-887-4531

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	01/26/2024

Similar Medicare Providers

1760413942 — SHIRLEY DIANE DAVIS CRNA
Practice Location Address:

10030 GILEAD RD
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-316-4875
Practice Fax:

1548994593 — ABBIGAIL AMANDA MATTFELD
Practice Location Address:

10030 GILEAD RD
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-316-3789
Practice Fax: 704-316-6785

1396745527 — NOVANT MEDICAL GROUP, INC.
Practice Location Address:

10030 GILEAD RD , STE 201
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-887-4530
Practice Fax: 704-887-4531

1275520702 — DR. MARYANNE ELIZABETH PATTI M.D.
Practice Location Address:

10030 GILEAD RD
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-384-5416
Practice Fax: 704-384-5992

1912983693 — DR. ROHIT IKE BHASIN M.D.
Practice Location Address:

10030 GILEAD RD STE 245
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-895-9390
Practice Fax: 704-464-5948

1962474585 — CHRISTINE LOUISE DEATLEY CRNA
Practice Location Address:

10030 GILEAD RD
HUNTERSVILLE, NC
28078-7545

Practice Phone: 704-316-4875
Practice Fax:

Directions to “ JOSEPH LAKE TRASK SR. MD” 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.