Individual provider · Type 1 NPI
Carol Lake, FNP
Family Nurse Practitioner · Baltimore, MD
NPI number
1891028346
Active
Practice location
430 S Broadway
Baltimore, MD 21231-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R101279 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891028346
Carol Lake, FNP's National Provider Identifier is 1891028346, issued on Sep 16, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 5, 2012.