Individual provider · Type 1 NPI

Meredith Rose Lake, CPNP-AC

Pediatric Nurse Practitioner · Hartford, CT

NPI number 1033652540 Active

Practice location

282 Washington St
Hartford, CT 06106-3322

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	6861 (CT)

Pediatric Nurse Practitioner: Definition to come...

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Aaron Zucker, MDPediatric Critical Care Medicine Physician Hartford, CT NPI 1508832858
Abby M. Theriaque, APRNPediatric Nurse Practitioner Hartford, CT NPI 1457630295
Abigail Tatom Means, AU.D.Audiologist Hartford, CT NPI 1164293213
Abraham John Khorasani, MDPediatrics Physician Hartford, CT NPI 1457715666
Adam Mastrocola, MD, PhDPediatrics Physician Hartford, CT NPI 1609337302

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About NPI 1033652540

Meredith Rose Lake, CPNP-AC's National Provider Identifier is 1033652540, issued on Dec 1, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hartford, CT. The record was last updated on Sep 15, 2022.