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

Dr. John Russell Lake, MD

Individual provider Orthopaedic Surgery Physician · NPI 1568497238

Dr. John Russell Lake, MD is an Orthopaedic Surgery Physician in LA Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

5565 Grossmont Center Dr Bldg 3 Ste 256
LA Mesa, CA 91942-3020
Phone: (619) 462-3131
Fax: (619) 462-1731
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence G14553 (CA)

Record details

NPI number1568497238
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 9, 2007

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