LAURA LAKE CRNP NPI 1447179692

NPI Information

  • NPI: 1447179692
  • Provider Name: LAURA LAKE, CRNP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 108 4TH AVE SW STE A
    REFORM, AL
    ZIP 35481
  • Phone: (205) 375-6251

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NPI Details

Laura Lake, CRNP is a family medicine in Reform, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Laura Lake, CRNP NPI is 1447179692. 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:

108 4TH AVE SW STE A
REFORM, AL
ZIP 35481-018
Phone: (205) 375-6251
Fax: (205) 375-9064

The enumeration date for this NPI number is 7/13/2026 and was last updated on 7/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care1191389ALABAMANo
2207Q00000XFamily Medicine1191389ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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