ELIZABETH ANN LAKE (NPI# 1538796867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538796867 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN LAKE |
| Other Name | ELIZABETH ANN WIDDEKIND |
| Credential | CLC |
| Practice Address |
20 3rd St W Kremlin MT 59532-7708 |
| Mailing Address |
Po Box 61 Kremlin MT 59532-0061 |
| Practice Telephone | 4069450286 |
| Mailing Telephone | 4063443140 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | ALPP-323072 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182945 | Elizabeth Ceata Lake | Social Worker | 1415 Bond St Ste 127, Naperville, IL 60563-2769 | 2018-08-01 |
| 1316345937 | Elizabeth Page Lake | Pharmacist | 2200 Fort Roots Dr, North Little Rock, AR 72114-1709 | 2014-12-12 |
| 1659789162 | Elizabeth Lake | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2014-07-28 |
| 1013262567 | Elizabeth Lake | Home Health Aide | 7826 Eastern Ave Nw Ste Ll16, Washington, DC 20012-1328 | 2012-07-20 |
| 1356588057 | Elizabeth Lake | Counselor | 521 Beall Ave, Wooster, OH 44691-3589 | 2009-01-16 |
| 1265622146 | Elizabeth L Lake | Psychiatry & Neurology | 20 S Park St, Suite 202, Madison, WI 53715-1348 | 2007-07-27 |
| 1427163872 | Elizabeth Ann Lake | Dietitian, Registered | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-08-19 |
| Street Address |
20 3RD ST W |
| City | KREMLIN |
| State | MT |
| Zip Code | 59532-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891859328 | Mary Lou Dees | Physical Therapist | 2598 Kremlin Rd S, Kremlin, MT 59532-8735 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598902454 | Jenni Rae Lam | Physical Therapy Assistant | 705 5th St, Kremlin Public Schools, Kremlin, OK 73753 | 2009-01-14 |
| 1891859328 | Mary Lou Dees | Physical Therapist | 2598 Kremlin Rd S, Kremlin, MT 59532-8735 | 2006-12-20 |
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758154 | Shannon Hochhalter | Lactation Consultant, Non-RN | 963 Legendary Ln, Victor, MT 59875 | 2020-04-02 |
| 1053809616 | Jessica Ballard | Lactation Consultant, Non-RN | 177 S Easy St, Missoula, MT 59802-5485 | 2018-04-28 |
| 1427432210 | Elizabeth Rae Susanne Williams | Lactation Consultant, Non-RN | 608 3rd St W, Polson, MT 59860-2617 | 2015-07-12 |
| 1821496563 | Randina Hoyt | Lactation Consultant, Non-RN | 64659 Jocko St, Ravalli, MT 59863-9715 | 2014-12-11 |
| 1235534421 | Marisa Wright | Lactation Consultant, Non-RN | 1925 Burlington Ave, Missoula, MT 59801-5427 | 2014-10-30 |
| 1982063871 | Dawn Gordon-wilcox | Lactation Consultant, Non-RN | 25 W Front St, Butte, MT 59701-2801 | 2016-02-19 |
Please comment or provide details below to improve the information on ELIZABETH ANN LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.