person
Ms. Carol Lake, FNP
Family Nurse Practitioner in Baltimore, Maryland
NPI 1891028346

Carol Lake is a Family Nurse Practitioner based in Baltimore, MD and is specialized in Family. Carol Lake practices in Baltimore, MD and has the professional credentials of FNP. The NPI Number for Carol Lake is 1891028346 and holds a License No. R101279 (Maryland).

The current practice location address for Carol Lake is 430 S Broadway, Baltimore, MD and can be reached out via phone at 443-825-3450.

Location: 430 S Broadway, Baltimore, MD, 21231-2409
person
Provider Profile Details
NPI Number
1891028346
Provider Name
Carol Lake
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
430 S Broadway, Baltimore, MD, 21231-2409
Phone Number
443-825-3450
Fax Number
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
430 S Broadway
City
State
Zip
21231-2409
Phone Number
443-825-3450
Fax Number
person
Provider Business Mailing Address Details
Address
430 S Broadway
City
State
Zip
21231-2409
Phone Number
443-825-3450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R101279 (Maryland)
Definition
Definition to come...
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