Lake Behavioral Health Management

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

LAKE BEHAVIORAL HEALTH MANAGEMENT

Practice address

225 W Canton Ave Ste 600
Winter Park, FL 32789-3181

Phone

(407) 622-8086

NPI assigned

Nov 27, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Corddry

Title

Owner

Phone

(407) 622-8086

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1356811897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W CANTON AVE STE 600",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893181",
            "telephone_number": "407-622-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W CANTON AVE STE 600",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893181",
            "telephone_number": "407-622-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BEHAVIORAL HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "CORDDRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-8086"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly E Lafave, MD
• Mark A. Lagatta, M.D.
• Don Felix Lahens, MA
• John M Lahr, PA-C
• Thuy Anh Lai
• Lake Dental Services, PA (Winterpark Dental Services)
• Lakemont Clininc Inc
• Lakemont Pediatrics
• Baldev S Lalli, M.D.
• Charles J Lammers, PHD

• Geriatric Psychiatry Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Geriatric Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.