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Lake, Gerald E MD Inc.

Debarred entity
TypeCompany[sources]
NameLake, Gerald E MD Inc.[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
Registration number00G207480 · ZZZ79426[sources]
SectorCorporation Owner[sources]
Address230 West Laurel St., Ste. #704, San Diego, CA · 4671 Fair Oaks Blvd., Sacramento, CA · 7737 Fair Oaks Blvd., Unit #469, Carmichael, CA[sources]
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US California Medicaid Suspended and ineligible providers22,477

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS


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