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CHRISTOPHER LAKE MD NPI 1619979564


NPI Information

NPI: 1619979564
Provider Name: CHRISTOPHER LAKE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
133 PLEASANT ST
BERLIN, NH
ZIP 03570
Phone: (603) 752-2040
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Christopher Lake, MD is a family medicine in Berlin, NH. 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. Christopher Lake, MD NPI is 1619979564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

133 PLEASANT ST
BERLIN, NH
ZIP 03570-006
Phone: (603) 752-2040
Fax: (603) 752-7797

The NPI 1619979564 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 3/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine9702NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15830418OTHERAETNA GROUP
20103651YPNH01OTHERNEW HAMPSHIREANTHEM BC/BS
39702OTHERNEW HAMPSHIRESTATE LICENSE #
4080183074OTHERRAILROAD MEDICARE
530009864MEDICAIDNEW HAMPSHIRE
66861833OTHERNEW HAMPSHIRECIGNA HEALTHCARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.