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

Individual provider Emergency Medicine Physician · NPI 1003952375

Dr. Dianah Thelma Lake, MD is an Emergency Medicine in Bronx, New York. Qualified in 2003, 23 years ago. Practices with Davis Memorial Hospital, a 75-clinician group and accepts Medicare assignment. Licensed in Maine and New Jersey.

Years since qualifying
23
Licensed in
ME, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone: (718) 918-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA08177800 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD21481 (ME)

Record details

NPI number1003952375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2007
Last updated in NPPESMay 4, 2017

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Davis Memorial Hospital — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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