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William Carey Lake, APRN
Family Nurse Practitioner in Hanna, Wyoming
NPI 1497390017

William Carey Lake is a Family Nurse Practitioner based in Hanna, WY and is specialized in Family. William Carey Lake practices in Hanna, WY and has the professional credentials of APRN. The NPI Number for William Carey Lake is 1497390017 and holds a License No. 44879 (Wyoming).

The current practice location address for William Carey Lake is 1025 Jade Drivee, Hanna, WY and can be reached out via phone at 307-321-8782.

Location: 1025 Jade Drivee, Hanna, WY, 82327-5046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497390017
Provider Name
William Carey Lake
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1025 Jade Drivee, Hanna, WY, 82327-5046
Phone Number
307-321-8782
Fax Number
Provider Enumeration Date
11/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 Jade Drivee
City
Hanna
State
Wyoming
Zip
82327-8232
Phone Number
307-321-8782
Fax Number
person
Provider Business Mailing Address Details
Address
1025 Jade Drivee
City
Hanna
State
Wyoming
Zip
82327-8232
Phone Number
307-321-8782
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
44879 (Wyoming)
Definition
Definition to come...
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