Abigail Diane Lake

  • NPI 1730669409
According to our database, the NPI number for Abigail Diane Lake is 1730669409 and activated since 5 years ago. Abigail Diane Lake is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2704 N Main St, Rockford, IL 61103. You can also contact Abigail Diane Lake via telephone number is (815) 968-9300. Provider NPI information was last updated on 08/21/2018.

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Overview of Abigail Diane Lake

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/21/2018
  • Last updated: 08/21/2018

Primary Scrop of Practice

  • Taxonomy Code: 163WA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 041404632
  • License State: IL

Provider Mailing Address

  • Address: 1021 N Mulford Rd
    Rockford, IL 61107
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 2704 N Main St
    Rockford, IL 61103
  • Phone: 815-968-9300
  • Fax:

Scope of Practice

  • Taxonomy Code: 163WA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 041404632
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Abigail Diane Lake?
  • A: The npi number for Abigail Diane Lake is 1730669409.
  • Q: What are Abigail Diane Lake's specialties?
  • A: Abigail Diane Lake's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Abigail Diane Lake?
  • A: The medical license number for Abigail Diane Lake is 041404632 and issued in IL in USA.
  • Q: Where is Abigail Diane Lake practice location?
  • A: Abigail Diane Lake is practicing at 2704 N Main St, Rockford, IL 61103.
  • Q: How to contact Abigail Diane Lake?
  • A: You can contact Abigail Diane Lake via 815-968-9300.
Medicare Specialty
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