National Provider Identifier

Maryann Lake, LPN

Maryann Lake, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 227-7589.

NPI 1700019536Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1700019536
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 27, 2009
Last Updated
August 27, 2009

Practice Location

  • 231 North Ave
  • Rochester, NY 14626-1053

Phone: (585) 227-7589

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1700019536
Entity Type
Individual
Last Name
Lake
First Name
Maryann
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
231 North Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1053
Mailing Country
US
Mailing Phone
(585) 227-7589
Practice Street Address
231 North Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-1053
Practice Country
US
Practice Phone
(585) 227-7589
Enumeration Date
August 27, 2009
Last Updated
August 27, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)