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

John Richard Lake, MD

Individual provider Gastroenterology Physician · NPI 1740360619

John Richard Lake, MD is a Gastroenterology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 1979, 47 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
47
Trained at
University of Minnesota Medical School
Licensed in
MN
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 Partly verified

Some contact details are missing from the federal record.

University Of Minnesota Physicians 516 Delaware Street SE Clinic 2A
Minneapolis, MN 55454-1478
Phone: (612) 626-6100
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 40739 (MN)

Record details

NPI number1740360619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESOctober 26, 2012
Mailing addressUniversity Of Minnesota Physicians, 420 Delaware St Se, Mmc 36, Minneapolis, MN 55455

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1979 (47 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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