AHNNA LAKE, M.D.

Family Medicine

Active Individual
NPI: 1649488107

Practice Address

1123 MORAN LOOP
Morristown, VT 05661

Phone: (802) 253-9369

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 42-8468 (VT)
Preventive Medicine - Occupational Medicine 2083X0100X No 42-8468 (VT)

Frequently Asked Questions

NPI 1649488107 is the National Provider Identifier for AHNNA LAKE, M.D., a Family Medicine provider located in Morristown, VT. This NPI was enumerated on May 18, 2007.
AHNNA LAKE, M.D. practices at 1123 MORAN LOOP, Morristown, VT 05661.

Quick Facts

NPI
1649488107
Type
Individual
Enumerated
May 18, 2007
Last Updated
Jan 18, 2024