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

Dr. Andrew Edgar Lake, DC

Individual provider Chiropractor · NPI 1902918519

Dr. Andrew Edgar Lake, DC is a Chiropractic in Bayfield, Colorado. Qualified in 2005, 21 years ago. Licensed in Colorado and New Mexico.

Years since qualifying
21
Licensed in
CO, NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

40031 US Highway 160 Ste C
Bayfield, CO 81122-8746
Phone: (970) 884-1072
Fax: (970) 884-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5818 (CO)
Chiropractor Taxonomy 111N00000X · Licence 1657 (NM)

Record details

NPI number1902918519
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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