LAKE MEDICAL GROUP, LLC

Clinic/Center — Adult Day Care

Code: 261QA0600X

Clinic/Center — Infusion Therapy

Code: 261QI0500X

Clinic/Center — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Code: 261QR0401X

Clinic/Center — Occupational Medicine

Code: 261QX0100X

Case Manager/Care Coordinator

Code: 171M00000X

Physical Medicine & Rehabilitation

Code: 208100000X

Pain Medicine — Pain Medicine

Code: 208VP0000X

Clinical Medical Laboratory

Code: 291U00000X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Code: 335V00000X

Clinic/Center — Multi-Specialty

Code: 261QM1300X