Bethany T Lake in E. Waterboro - Family Medicine
Bethany T Lake - NPI 1649234378
Bethany T Lake is a Family Medicine in E. Waterboro, Maine. Bethany T Lake practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bethany T Lake is 1649234378. The last update date is 2014-12-18.
Bethany T Lake's current location address is 10 Goodall Drive, E. Waterboro, Maine. You can contact this provider via phone number 2074907970 and fax number 2072829128. The mailing address for Bethany T Lake is 10 Goodall Drive, E. Waterboro, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bethany T Lake |
|---|---|
| Address | 10 Goodall Drive, E. Waterboro, Maine |
| Phone Number | 2074907970 |
| Fax Number | 2072829128 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649234378 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2014-12-18 |
Provider Mailing Address Detail
| Address | 10 Goodall Drive |
|---|---|
| City | E. Waterboro |
| State | Maine (ME) |
| Post Code | 4030 |
| Phone Number | 2074907970 |
| Fax Number | 2072829128 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 15660 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247150099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bethany T Lake by the Centers for Medicare & Medicaid Services?
The Bethany T Lake has been assigned the NPI (National Provider Identifier) 1649234378 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bethany T Lake's facilities are situated?
The facilities of Bethany T Lake are physically located at the following address: 10 Goodall Drive, E. Waterboro, ME, 4030.
What is Bethany T Lake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bethany T Lake is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649234378 to Bethany T Lake?
The Centers for Medicare & Medicaid Services assigned the 1649234378 to Bethany T Lake on 2006-04-12.
When was the information regarding Bethany T Lake most recently updated?
The details pertaining to the Bethany T Lake, including its address, specialty, and other relevant information, were last refreshed on 2014-12-18.