Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PEARL A LAKE
Active Sole ProprietorMRS. PEARL A LAKE is a Military Health Care Provider healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1053907261 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1053907261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2020 (5.6949807209985 yrs)
- Last Updated
- Dec 12, 2020
- Licenses
-
70000634RMA (PA)7000.000000634RMA (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2214 S 57TH STPHILADELPHIA, PA, 191435705Browse PA providers · Browse ZIP 19143
- Phone
- 8868848807
- Fax
- 2158255161
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
Other Military Health Care Provider Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. VERONICA EPAH NKIE | DO, MPH, MLS | 1801159488 |
| SIANNI UNIQUE WIGGINS | R.M.A | 1245836790 |
| NAFISA SADE OUTLAW | — | 1760127773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.