Catherine Dettelbach Lake, FNP-C is a primary care nurse practitioner in Jacksonville, FL with 4 years of experience. Catherine Dettelbach Lake, FNP-C NPI is 1265039424. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
915 W MONROE ST STE 200
JACKSONVILLE, FL
ZIP 32204-177
Phone: (904) 384-2240
Fax: (904) 486-2314
The NPI 1265039424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/1/2020 and was last updated on 12/10/2021.