Sandra L Lake


Address: 1309 Orchard Way, Sandra Lake Cnsl, Frederick, MD 21703-6002
Phone: 3015035338

Sandra L Lake (NPI# 1023393386, PAC ID# 6709052947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1023393386
PAC ID by PECOS 6709052947
Professional Enrollment ID I20120110000376
Full Name Sandra L Lake
Address 1309 Orchard Way
Sandra Lake Cnsl
Frederick
MD 21703-6002
Phone Number 3015035338
Gender F
Graduation Year 1999
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1309 Orchard Way, Sandra Lake Cnsl, Frederick, MD 21703-6002 3015035338

Organization Information

Office Location

Street Address 1309 ORCHARD WAY
SANDRA LAKE CNSL
City FREDERICK
State MD
Zip 21703-6002

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Competitor

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City FREDERICK
Zip Code 21703
Specialty CLINICAL SOCIAL WORKER
City + Specialty FREDERICK + CLINICAL SOCIAL WORKER

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Dataset Information

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.

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