Individual provider · Type 1 NPI
Melissa Lake, PA
Medical Physician Assistant · Woburn, MA
NPI number
1922584499
Active
Practice location
800 W Cummings Park Ste 1200
Woburn, MA 01801-6587
Fax (781) 305-4683
Mailing address
900 Cummings Ctr Ste 221U
Beverly, MA 01915-6183
Other practice locations
- 900 Cummings Ctr Ste 221U, Beverly, MA 01915-6183 · (978) 927-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA6641 (MA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1922584499
Melissa Lake, PA's National Provider Identifier is 1922584499, issued on Jul 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woburn, MA. The record was last updated on Jul 17, 2018.