Bethany T Lake, MD
Family Medicine in E. Waterboro, Maine
1649234378- Practice location
- 10 Goodall Drive, Suite 100, E. Waterboro, ME 04030
- Phone
- 207-490-7970
- Fax
- 207-282-9128
- Last updated
- December 18, 2014
Bethany T Lake is a Family Medicine based in E. Waterboro, ME. Bethany T Lake practices in E. Waterboro, ME and has the professional credentials of MD. The NPI Number for Bethany T Lake is 1649234378 and holds a License No. 015660 (ME). The current practice location address for Bethany T Lake is 10 Goodall Drive, Suite 100, E. Waterboro, ME 04030 and can be reached out via phone at 207-490-7970 and via fax at 207-282-9128.
Provider Profile Details
- NPI Number
- 1649234378
- Provider Name
- Bethany T Lake
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Goodall Drive, Suite 100, E. Waterboro, ME 04030
- Phone Number
- 207-490-7970
- Fax Number
- 207-282-9128
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2006
- Last Update Date
- December 18, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Goodall Drive
Suite 100
E. Waterboro, ME 04030 - City
- E. Waterboro
- State
- Maine
- Zip
- 04030
- Phone Number
- 207-490-7970
- Fax Number
- 207-282-9128
Provider Business Mailing Address Details
- Address
- 1 Medical Center Drive
Po Box 626
Biddeford, ME 04005 - City
- Biddeford
- State
- ME
- Zip
- 04005
- Phone Number
- 207-282-9080
- Fax Number
- 207-282-9180
License Information
- License Number
- 015660
- License State
- ME
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near E. Waterboro, ME
View all Family Medicine providers in E. Waterboro →Frequently Asked Questions
What is the NPI number of Bethany T Lake, MD?
The NPI number of Bethany T Lake, MD is 1649234378. It was assigned on April 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Bethany T Lake, MD?
Bethany T Lake, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number 015660.
Where does Bethany T Lake, MD practice?
The practice location is 10 Goodall Drive, Suite 100, E. Waterboro, ME 04030. The office can be reached at 207-490-7970 (phone) or 207-282-9128 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649234378 directly on the NPPES registry website.