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Linnea R Lake, CFNP
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1770550618

Linnea R Lake is a Family Nurse Practitioner based in Biloxi, MS and is specialized in Family. Linnea R Lake practices in Gulfport, MS and has the professional credentials of CFNP. The NPI Number for Linnea R Lake is 1770550618 and holds a License No. R787174 (Mississippi).

The current practice location address for Linnea R Lake is 4500 W Railroad St, Gulfport, MS and can be reached out via phone at 228-863-8836.

Location: 4500 W Railroad St, Gulfport, MS, 39533
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Provider Profile Details
NPI Number
1770550618
Provider Name
Linnea R Lake
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
4500 W Railroad St, Gulfport, MS, 39533
Phone Number
228-863-8836
Fax Number
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00121696 05 MS
institution
Provider Business Practice Location Address Details
Address
4500 W Railroad St
City
State
Zip
39501-2479
Phone Number
228-863-8836
Fax Number
person
Provider Business Mailing Address Details
Address
4500 W Railroad St
City
State
Zip
39501-2479
Phone Number
228-863-8836
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R787174 (Mississippi)
Definition
Definition to come...
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