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

Dennis Lake, MD

Individual provider Pediatrics Physician · NPI 1700986205

Dennis Lake, MD is a Pediatrics Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

710 Kenmoor Ave SE Ste 110
Grand Rapids, MI 49546-2379
Phone: (616) 949-6112
Fax: (616) 949-8530
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301039973 (MI)

Record details

NPI number1700986205
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379

Other providers in Grand Rapids