Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Lake

Individual provider Case Manager/Care Coordinator · NPI 1396624714

Charles Lake is a Case Manager/Care Coordinator in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

2345 Dorr St
Toledo, OH 43607-3423
Phone: (419) 407-5342
Fax: (419) 407-5371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence QMHS (OH)

Record details

NPI number1396624714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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