Linda Lake, CRNA | |
3026 Brisbane Dr, Mount Juliet, TN 37122-8500 | |
(615) 754-7658 | |
Not Available |
Full Name | Linda Lake |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3026 Brisbane Dr, Mount Juliet, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457352320 | NPI | - | NPPES |
3633942 | Medicaid | TN | |
74008814 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 020316 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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Linda Lake, CRNA 3026 Brisbane Dr, Mount Juliet, TN 37122-8500 Ph: () - | Linda Lake, CRNA 3026 Brisbane Dr, Mount Juliet, TN 37122-8500 Ph: (615) 754-7658 |
Mr. Steven C Depass, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 448 Quarry Rd, Mount Juliet, TN 37122 Phone: 615-453-1089 Fax: 615-453-1089 | |
Kate Priebe, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 540 Sandy Dr, Mount Juliet, TN 37122 Phone: 615-574-5594 |