Mrs Debra E Lake, DMD is a
Dentist - General Practice based in Corinth, Kentucky. Mrs Debra E Lake is licensed to practice in Kentucky (license number 8024) and her current practice location is
530 Doe Run Rd, Corinth, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(218) 565-1483.
NPI number for Mrs Debra E Lake is 1275673444 and her current mailing address is 530 Doe Run Rd, Corinth, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275673444.
Healthcare Provider's Profile
Full Name | Mrs Debra E Lake |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 530 Doe Run Rd, Corinth, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275673444
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 01/16/2017
Medical Identifiers
Medical identifiers for Mrs Debra E Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275673444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5569-015 (Wisconsin) | Secondary |
122300000X | Dentist | DN 13258 (Florida) | Secondary |
1223G0001X | Dentist - General Practice | 8024 (Kentucky) | 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. Mrs Debra E 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 |
Mrs Debra E Lake, DMD 530 Doe Run Rd, Corinth, KY 41010-6007 Ph: (218) 565-1483 | Mrs Debra E Lake, DMD 530 Doe Run Rd, Corinth, KY 41010-6007 Ph: (218) 565-1483 |
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