Lake, Dorothy Nicole

Lake, Dorothy Nicole is an individual health care provider with primary practice located at 1561 S Highway 27 Unit B6 & B7, Carrollton GA 30117-8927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lake, Dorothy Nicole can be contacted via phone (404) 366-3636.

Contact Information

Primary practice address
1561 S Highway 27 Unit B6 & B7 Carrollton GA 30117-8927
Fax: (404) 362-0808
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN213402NP Georgia

Profile Details

NPI number 1528438538
LBN Legal business name Lake, Dorothy Nicole
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Oct 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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