Ms. Meredith Rose Lake
Nurse Practitioner - Pediatrics
282 Washington St
Hartford
, Connecticut 06106-3322
Ms. Meredith Rose Lake
Nurse Practitioner - Pediatrics
282 Washington St
Hartford
, Connecticut 06106-3322
(860) 545-9000
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Meredith Rose Lake
- 282 Washington St
- Hartford, CT
- Zip : 06106-3322
- Phone : (860) 545-9000
Second Address
- Ms. Meredith Rose Lake
- 282 Washington St
- Hartford, CT
- Zip : 06106-3322
- Phone : (860) 545-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 6861 | CT |
National Provider Identifier
| NPI | 1033652540 |
|---|---|
| Provider Name | Ms. Meredith Rose Lake |
| First Address | Hartford, CT 06106-3322 |
| Second Address | Hartford, CT 06106-3322 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2016 |
| Last Update Date | 06/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.