Linnea R Lake is a Family in Gulfport, Mississippi. Linnea R Lake practices all healthcare services and medical treatments related to Family. The NPI Number for Linnea R Lake is 1770550618. The last update date is 2018-03-17.
Linnea R Lake's current location address is 4500 W Railroad St, Gulfport, Mississippi. You can contact this provider via phone number 2288638836. The mailing address for Linnea R Lake is 4500 W Railroad St, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linnea R Lake |
|---|---|
| Address | 4500 W Railroad St, Gulfport, Mississippi |
| Phone Number | 2288638836 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1770550618 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 4500 W Railroad St |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395012479 |
| Phone Number | 2288638836 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R787174 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121696 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Linnea R Lake by the Centers for Medicare & Medicaid Services?
The Linnea R Lake has been issued the NPI (National Provider Identifier) 1770550618. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Linnea R Lake is physically located?
The Linnea R Lake is physically situated at the following address: 4500 W Railroad St, Gulfport, MS, 395012479.
What is Linnea R Lake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Linnea R Lake is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
When did the Linnea R Lake receive its 1770550618?
The Linnea R Lake was issued its 1770550618 on 2006-02-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Linnea R Lake's details last updated?
The information pertaining to the Linnea R Lake, including its address, specialty, and other details, was most recently updated on 2018-03-17.