Individual provider · Type 1 NPI
Lauren Lake, NP
Psychiatric/Mental Health Nurse Practitioner · Bristol, TN
NPI number
1326684226
Active
Practice location
1 Medical Park Blvd Ste 200E
Bristol, TN 37620-7498
Fax (423) 844-5109
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024197783 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 25239 (TN) |
| Family Nurse Practitioner | 363LF0000X | 25239 (TN) |
| Family Nurse Practitioner | 363LF0000X | 0024197783 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1326684226
Lauren Lake, NP's National Provider Identifier is 1326684226, issued on Nov 26, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bristol, TN. The record was last updated on Sep 9, 2026.