Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles R Lake, MD, PHD

Individual provider Psychiatry Physician · NPI 1477632982

Dr. Charles R Lake, MD, PHD is a Psychiatry Physician in Kansas City, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3901RAINBOW Blvd 4070 Delp
Kansas City, KS 66160
Phone: (913) 588-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 04-24437 (KS)

Record details

NPI number1477632982
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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