Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA LYNN LAKE, MS ED
Active Sole ProprietorCARISSA LYNN LAKE, MS ED is a Specialist healthcare provider located in TROY, New York. NPI 1376805275 is currently active in the NPPES registry. Verify at CMS.
Specialist · TROY, NY
Registration Details
- NPI Number
- 1376805275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2012 (14.159246689198 yrs)
- Last Updated
- Jun 15, 2012
- License
-
484706101 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2247 13TH STTROY, NY, 121803017Browse NY providers · Browse ZIP 12180
- Phone
- 5182731586
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TROY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. FRANKLAND F CHEUNG | M.D. | 1063406908 |
| LESLIE S GOLDSTEIN | M.D. | 1871580845 |
| DARSHAN S ARORA | M.D. | 1316934383 |
| GINO BUREAU | PT | 1790760866 |
| MARK VAN LEUVEN | PT | 1114994266 |
| DR. MARK R LEVY | M.D. | 1356305668 |
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.