Lake, Tiffini Jaye

Lake, Tiffini Jaye is an individual health care provider with primary practice located at 111 Colchester Ave Dept Of Anesthesiology, Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Lake, Tiffini Jaye can be contacted via phone (802) 847-2415.

Contact Information

Primary practice address
111 Colchester Ave Dept Of Anesthesiology Burlington VT 05401-1473
Phone: (802) 847-2415
Fax: (802) 847-5324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Vermont
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Vermont

Profile Details

NPI number 1649258468
LBN Legal business name Lake, Tiffini Jaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1649258468 NPPES
Vermont MEDICAID 1011631

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