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

Nicholas Heller Lake, MD

Individual provider Military Health Care Provider · NPI 1669851416

Nicholas Heller Lake, MD is a Military Health Care Provider in Portsmouth, Virginia. Licensed in North Carolina and Nebraska. Registered with an NPI since 2015.

Licensed in
NC, NE
In the registry since
2015
Specialties on file
3
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

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (858) 525-2842
Show map & directions

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

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence 29393 (NE)
Military Health Care Provider Taxonomy 171000000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2020-02932 (NC)

Record details

NPI number1669851416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2015
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

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