person
Mrs. Leslie Ann Lake, FNP-BC
Family Nurse Practitioner in Berlin, Maryland
NPI 1134877525

Leslie Ann Lake is a Family Nurse Practitioner based in Berlin, MD and is specialized in Family. Leslie Ann Lake practices in Berlin, MD and has the professional credentials of FNP-BC. The NPI Number for Leslie Ann Lake is 1134877525 and holds a License No. R155906 (Maryland).

The current practice location address for Leslie Ann Lake is 9858 Shore Break Ln Apt 311, Berlin, MD and can be reached out via phone at 912-689-9322.

Location: 9858 Shore Break Ln Apt 311, Berlin, MD, 21811-3028
person
Provider Profile Details
NPI Number
1134877525
Provider Name
Leslie Ann Lake
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
9858 Shore Break Ln Apt 311, Berlin, MD, 21811-3028
Phone Number
912-689-9322
Fax Number
Provider Enumeration Date
03/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R155906 01 MD LICENSURE
institution
Provider Business Practice Location Address Details
Address
9858 Shore Break Ln Apt 311
City
State
Zip
21811-3028
Phone Number
912-689-9322
Fax Number
person
Provider Business Mailing Address Details
Address
9858 Shore Break Ln Apt 311
City
State
Zip
21811-3028
Phone Number
912-689-9322
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R155906 (Maryland)
Definition
Definition to come...
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