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

Dr. Eric J Lake, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1710919139

Dr. Eric J Lake, DO is a Sports Medicine (Family Medicine) Physician in Havertown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

525 W Chester Pike Ste 203
Havertown, PA 19083-4500
Phone: (610) 789-7767
Fax: (610) 789-7768
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence OS012275 (PA)

Record details

NPI number1710919139
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 18, 2012
Mailing address525 W Chester Pike, Suite 203, Havertown, PA 19083-4500

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