Kayse L Lake
Medical Specialty
Professional ID
- NPI: 1366686800
- PECOS ID: 0941473243
- Enrollment ID: I20140902001499
- Credential(MD, DO, DPM):
- Medical School: Ohio College Of Podiatric Medicine
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 060117
- Business Name (LBN)1: Animas Surgical Hospital, Llc
Medical Practices
- Organization Name: Four Corners Foot And Ankle Pc
- Group Practice ID assigned by PECOS: 9931349347
- Number of Group Practice member: 0
Location
- Address1: 575 Rivergate
- Address2: Unit 95
- City: Durango
- State: Colorado
- Zip Code: 81301
- Phone Number: (970)259-5303
Location
- Address1: 800 Saguaro Trl
- Address2:
- City: Farmington
- State: New Mexico
- Zip Code: 87401
- Phone Number: (505)598-6000
Location
- Address1: 806 W Maple St
- Address2:
- City: Farmington
- State: New Mexico
- Zip Code: 87401
- Phone Number: (505)325-2910
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes