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Dorothy Nicole Lake, CPNP
Pediatric Nurse Practitioner in Carrollton, Georgia
NPI 1528438538

Dorothy Nicole Lake is a Pediatric Nurse Practitioner based in Forest Park, GA and is specialized in Pediatrics. Dorothy Nicole Lake practices in Carrollton, GA and has the professional credentials of CPNP. The NPI Number for Dorothy Nicole Lake is 1528438538 and holds a License No. RN213402NP (Georgia).

The current practice location address for Dorothy Nicole Lake is 1561 S Highway 27, Carrollton, GA and can be reached out via phone at 404-366-3636 and via fax at 404-362-0808.

Location: 1561 S Highway 27, Carrollton, GA, 30297-1427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528438538
Provider Name
Dorothy Nicole Lake
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1561 S Highway 27, Carrollton, GA, 30297-1427
Phone Number
404-366-3636
Fax Number
404-362-0808
Provider Enumeration Date
10/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1561 S Highway 27
City
Carrollton
State
Georgia
Zip
30117-8927
Phone Number
404-366-3636
Fax Number
404-362-0808
person
Provider Business Mailing Address Details
Address
1561 S Highway 27
City
Carrollton
State
Georgia
Zip
30117-8927
Phone Number
404-366-3636
Fax Number
404-362-0808
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN213402NP (Georgia)
Definition
Definition to come...
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