person
Alicia Larae Lake, MSN,NP-C
Family Nurse Practitioner in Hannibal, Missouri
NPI 1891449625

Alicia Larae Lake is a Family Nurse Practitioner based in Hannibal, MO and is specialized in Family. Alicia Larae Lake practices in Hannibal, MO and has the professional credentials of MSN,NP-C. The NPI Number for Alicia Larae Lake is 1891449625 and holds a License No. 2021023511 (Missouri).

The current practice location address for Alicia Larae Lake is 6500 Hospital Dr, Hannibal, MO and can be reached out via phone at 573-629-3300 and via fax at 573-629-3314.

Location: 6500 Hospital Dr, Hannibal, MO, 63401-1239
person
Provider Profile Details
NPI Number
1891449625
Provider Name
Alicia Larae Lake
Credential
MSN,NP-C
Provider Entity Type
Individual
Gender
Female
Address
6500 Hospital Dr, Hannibal, MO, 63401-1239
Phone Number
573-629-3300
Fax Number
573-629-3314
Provider Enumeration Date
02/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3300
Fax Number
573-629-3314
person
Provider Business Mailing Address Details
Address
6500 Hospital Dr
City
State
Zip
63401-6890
Phone Number
573-629-3300
Fax Number
573-629-3314
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2021023511 (Missouri)
Definition
Definition to come...
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