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

John T Lake, MD

Individual provider Psychiatry Physician · NPI 1629270194

John T Lake, MD is a Psychiatry in Cape Girardeau, Missouri. Graduated from Saint Louis University School of Medicine in 1995, 31 years ago. Practices with Missouri Delta Medical Center, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2007
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

60 Doctors Park Lowr Level
Cape Girardeau, MO 63703
Phone: (573) 519-4949
Fax: (573) 519-4665
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 108382 (MO)

Record details

NPI number1629270194
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2007
Last updated in NPPESAugust 1, 2018
Mailing address60 Doctors Park Lowr Level, Cape Girardeau, MO 63703-4928

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Missouri Delta Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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