Christopher Lake (NPI# 1619979564, PAC ID# 1456544402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619979564 |
| PAC ID by PECOS | 1456544402 |
| Professional Enrollment ID | I20101021001406 |
| Full Name | Christopher Lake |
| Organization Legal Name | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Address |
133 Pleasant St Berlin NH 03570-2006 |
| Phone Number | 6037522040 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628970480 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301310 | ANDROSCOGGIN VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 133 Pleasant St, Berlin, NH 03570-2006 | 6037522040 | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Organization Legal Name | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryanne E Christiansen | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Samuel J Mccreedy | Family Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Alice Mclane | Nurse Practitioner | Coos County Family Health Services Inc | 59 Page Hill Rd, Berlin, NH 03570-3531 |
| Janet Chevarie | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Elaine Chappell | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Basem Mohamed Elbrolosy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Patricia Shute | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Holly B Ramsey | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Michael Creppy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Kathleen Donovan | Nurse Practitioner | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Street Address |
133 PLEASANT ST |
| City | BERLIN |
| State | NH |
| Zip | 03570-2006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryanne E Christiansen | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Janet Chevarie | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Elaine Chappell | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Basem Mohamed Elbrolosy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Patricia Shute | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Holly B Ramsey | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Michael Creppy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Clint Emmett | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Pamela Woodburn Comeau | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Raina C Eaton | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen A Druke | Chiropractic | 15 Exchange St, Coos County Chiropractic, Berlin, NH 03570-0212 | |
| Laura E Brown | Psychologist, Clinical | 856 Western Ave, Berlin, NH 03570-1017 | |
| Elizabeth P Hess | Psychologist, Clinical | 856 Western Ave, Berlin, NH 03570-1017 | |
| Linda A Poulin | Speech Language Pathologist | Select Outpatient Services Inc | 364 Cates Hill Rd, Berlin, NH 03570-1554 |
| Kimberly A Hamilton | Occupational Therapy | Select Outpatient Services Inc | 364 Cates Hill Rd, Berlin, NH 03570-1554 |
| Heather M Alnwick | Physical Therapy | Select Outpatient Services Inc | 364 Cates Hill Rd, Berlin, NH 03570-1554 |
| Kelly S Oneil | Physical Therapy | Select Outpatient Services Inc | 364 Cates Hill Rd, Berlin, NH 03570-1554 |
| Lori S Ramos | Chiropractic | 15 Exchange St, Berlin, NH 03570-1948 | |
| Kimberly R Gallant | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| William J Gessner | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Find all physicians in zip 03570 | |||
| City | BERLIN |
| Zip Code | 03570 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BERLIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher Lake.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.