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Carissa A Webster-Lake

Surgeon Vascular Surgeon

1325 Eastmoreland Ave Ste 310
Memphis , Tennessee 38104-7544

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Carissa A Webster-Lake

Surgeon Vascular Surgeon

1325 Eastmoreland Ave Ste 310
Memphis , Tennessee 38104-7544

(901) 271-0155

Write a Review Save Call

Carissa A Webster-Lake

Surgeon Vascular Surgeon

1325 Eastmoreland Ave Ste 310
Memphis , Tennessee 38104-7544

(901) 271-0155 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Vascular Surgeon

Languages spoken

  • English

Location

1325 Eastmoreland Ave Ste 310 Memphis , Tennessee 38104-7544

First Address

  • Carissa A Webster-Lake
  • Po Box 1000, Dept 457
  • Memphis, TN
  • Zip : 38148-0001
  • Fax : (901) 271-0155
  • Phone : (901) 275-3662

Second Address

  • Carissa A Webster-Lake
  • 1325 Eastmoreland Ave Ste 310
  • Memphis, TN
  • Zip : 38104-7544
  • Fax : (901) 266-6468
  • Phone : (901) 272-6010

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FAQs


Where did Carissa A Webster-Lake attend graduate school?

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Where did Carissa A Webster-Lake do her residency?

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Where did Carissa A Webster-Lake do her fellowship?

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Is Carissa A Webster-Lake board certified?

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What type of doctor is Carissa A Webster-Lake

Vascular Surgeon

In what state does Carissa A Webster-Lake practice in?

Tennessee

Where is Carissa A Webster-Lake ’s practice located?

1325 Eastmoreland Ave Ste 310 , Memphis, Tennessee, 38104-7544

What is Carissa A Webster-Lake ’s gender?

Female

Is Carissa A Webster-Lake a sole practitioner?

No

Is Carissa A Webster-Lake accepting new patients?

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What languages does Carissa A Webster-Lake speak?

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Does Carissa A Webster-Lake accept insurance?

Yes, Carissa A Webster-Lake accepts insurance

Does Carissa A Webster-Lake offers telemedicine?

Carissa A Webster-Lake has not indicated if she offers telemedicine

What is Carissa A Webster-Lake ’s professional license number?

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What is Carissa A Webster-Lake ’s NPI number?

1134448269

Does Carissa A Webster-Lake have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon 54698 CT
N 208600000X Surgeon 54698 CT
N 2086S0129X Vascular Surgeon 54698 CT
Y 2086S0129X Vascular Surgeon 59921 TN

National Provider Identifier

NPI 1134448269
Provider Name Carissa A Webster-Lake
First Address Memphis, TN 38148-0001
Second Address Memphis, TN 38104-7544
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/05/2010
Last Update Date 26/08/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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