Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEANNE LAKE, M.D.
Active Sole ProprietorDR. LEANNE LAKE, M.D. is a Family Medicine healthcare provider located in MILROY, Indiana. NPI 1184790966 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MILROY, IN
Registration Details
- NPI Number
- 1184790966
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2006 (19.721084758874 yrs)
- Last Updated
- Jul 8, 2007
- License
-
01036535 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7695 S 175 WMILROY, IN, 461569668Browse IN providers · Browse ZIP 46156
- Phone
- 7656292224
- Fax
- 7656292856
- Primary Specialty
-
Family Medicine
207Q00000X
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.