Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AHNNA LAKE, M.D.
Active Sole ProprietorAHNNA LAKE, M.D. is a Family Medicine healthcare provider located in MORRISTOWN, Vermont. NPI 1649488107 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MORRISTOWN, VT
Registration Details
- NPI Number
- 1649488107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (19.246171446614 yrs)
- Last Updated
- Jan 18, 2024
- Licenses
-
MD21340 (ME)42-8468 (VT)42-8468 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1123 MORAN LOOPMORRISTOWN, VT, 05661Browse VT providers · Browse ZIP 05661
- Phone
- 8022539369
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Family Medicine
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.