Dr. John Russell Lake
M.D. | Orthopedic Surgery
5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa
California, 91942-3020
619-462-3131 619-462-1731
Maps & DirectionsDr. John Russell Lake is a La Mesa, California based orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Dr. John Russell Lake is G14553 for Orthopedic Surgery in California.
Dr. John Russell Lake is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. John Russell Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Gender: | Male |
| Practice Address: | 5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa,
California, 91942-3020 |
| Phone: | 619-462-3131 |
| Fax: | 619-462-1731 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1568497238 |
| NPI Enumeration Date: | 11 Jul, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Russell Lake are as mentioned below.
| License Number | Specialization | State | Status | |
| G14553 | Orthopedic Surgery | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Russell Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZZZ72232Z | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5565 Grossmont Center Dr, Bldg 3 Suite 256
La Mesa, California |
| Zip: | 91942-3020 |
| Phone Number: | 619-462-3131 |
| Fax Number: | 619-462-1731 |
Patients can reach Dr. John Russell Lake at
5565 Grossmont Center Dr, Bldg 3 Suite 256, La Mesa, California or can
call to book an appointment on 619-462-3131.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.