Individual provider · Type 1 NPI

Melina Luzaida Lake, MSED

Specialist · Fresh Meadows, NY

NPI number 1568060226 Active

Practice location

6143 186th St
Fresh Meadows, NY 11365-2710

Call (929) 200-7105 Map

Mailing address

528 Madison Ave
North Baldwin, NY 11510-1333

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1568060226

Melina Luzaida Lake, MSED's National Provider Identifier is 1568060226, issued on Oct 14, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Mar 13, 2024.