Marvida Frances Louise Lake, is a
Counselor - Mental Health based in Maryland, Maryland. Marvida Frances Louise Lake is licensed to practice in Maryland (license number LGP11474) and her current practice location is
8609 Park Avenue, Bowie, Maryland, Maryland. She can be reached at her office (for appointments etc.) via phone at
(919) 741-3481.
NPI number for Marvida Frances Louise Lake is 1588249726 and her current mailing address is 8609 Park Ave, Bowie, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588249726.
Healthcare Provider's Profile
Full Name | Marvida Frances Louise Lake |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 8609 Park Avenue, Maryland, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588249726
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 05/11/2021
Medical Identifiers
Medical identifiers for Marvida Frances Louise Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588249726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LGP11474 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marvida Frances Louise Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marvida Frances Louise Lake, 8609 Park Ave, Bowie, MD 20720-3698 Ph: (919) 741-3481 | Marvida Frances Louise Lake, 8609 Park Avenue, Bowie, Maryland, MD 20720 Ph: (919) 741-3481 |
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