Ahnna Lake, MD is a
Family Medicine physician based in Morristown, Vermont. Ahnna Lake is licensed to practice in Vermont (license number 42-8468) and her current practice location is 1123 Moran Loop, Morristown, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 253-9369.
NPI number for Ahnna Lake is 1649488107 and her current mailing address is Po Box 119, Stowe, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649488107.
Physician's Profile
Full Name | Ahnna Lake |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1123 Moran Loop, Morristown, Vermont |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649488107
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 01/18/2024
Medical Identifiers
Medical identifiers for Ahnna Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649488107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD21340 (Maine) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 42-8468 (Vermont) | Secondary |
207Q00000X | Family Medicine | 42-8468 (Vermont) | 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. Ahnna 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 |
Ahnna Lake, MD Po Box 119, Stowe, VT 05672-0119 Ph: (802) 253-9369 | Ahnna Lake, MD 1123 Moran Loop, Morristown, VT 05661 Ph: (802) 253-9369 |
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