Individual provider · Type 1 NPI

Laura Lake, CRNP

Family Medicine Physician · Reform, AL

NPI number 1447179692 Active

Practice location

108 4th Ave SW Ste A
Reform, AL 35481-8018

Fax (205) 375-9064

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X1191389 (AL)
Family Medicine Physician Primary 207Q00000X1191389 (AL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1447179692

Laura Lake, CRNP's National Provider Identifier is 1447179692, issued on Jul 13, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Reform, AL. The record was last updated on Jul 13, 2026.