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

Tamar Lake, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720306632

Tamar Lake, MD is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
Specialties on file
2
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

2215 Fuller Rd
Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
Fax: (734) 936-9091
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301096607 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1720306632
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2010
Last updated in NPPESJuly 2, 2015

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