Individual provider · Type 1 NPI

Carolyn Perrotti Lake

Family Nurse Practitioner · Sacramento, CA

NPI number 1639501877 Active

Practice location

77 Scripps Dr
Sacramento, CA 95825-6209

Mailing address

PO Box 4096
Auburn, CA 95604-4096

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95003836 (CA)
Family Nurse Practitioner Primary 363LF0000X95003836 (CA)
Family Nurse Practitioner 363LF0000X12.005412 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1639501877

Carolyn Perrotti Lake's National Provider Identifier is 1639501877, issued on Jul 30, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sacramento, CA. The record was last updated on May 18, 2026.