Lake, Erin

Lake, Erin is an individual health care provider with primary practice located at 26800 S Tamiami Trl Suite 340, Bonita Springs FL 34134-4349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lake, Erin can be contacted via phone (239) 495-4490.

Contact Information

Primary practice address
26800 S Tamiami Trl Suite 340 Bonita Springs FL 34134-4349
Phone: (239) 495-4490
Fax: (239) 495-4491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9251206 Florida

Profile Details

NPI number 1619268547
LBN Legal business name Lake, Erin
Credentials ARNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Mar 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619268547 NPPES
Florida MEDICAID 008708000

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