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Carissa Lynn Lake, MSED
Specialist in Troy, New York
NPI 1376805275

Carissa Lynn Lake is a Specialist based in Castleton, NY. Carissa Lynn Lake practices in Troy, NY and has the professional credentials of MSED. The NPI Number for Carissa Lynn Lake is 1376805275 and holds a License No. 484706101 (New York).

The current practice location address for Carissa Lynn Lake is 2247 13Th St, Troy, NY and can be reached out via phone at 518-273-1586.

Location: 2247 13Th St, Troy, NY, 12033-1103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376805275
Provider Name
Carissa Lynn Lake
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
2247 13Th St, Troy, NY, 12033-1103
Phone Number
518-273-1586
Fax Number
Provider Enumeration Date
06/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2247 13Th St
City
Troy
State
New York
Zip
12180-3017
Phone Number
518-273-1586
Fax Number
person
Provider Business Mailing Address Details
Address
2247 13Th St
City
Troy
State
New York
Zip
12180-3017
Phone Number
518-273-1586
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
484706101 (New York)
Definition
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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