Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY T LAKE, MD
ActiveBETHANY T LAKE, MD is a Family Medicine healthcare provider located in E. WATERBORO, Maine. NPI 1649234378 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · E. WATERBORO, ME
Registration Details
- NPI Number
- 1649234378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2006 (20.322303513429 yrs)
- Last Updated
- Dec 18, 2014
- License
-
015660 (ME)
Practice Information
- Address
-
10 GOODALL DRIVESUITE 100E. WATERBORO, ME, 04030Browse ME providers · Browse ZIP 04030
- Phone
- 2074907970
- Fax
- 2072829128
- 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.