ANNA LAKE MD NPI 1700860756

NPI Information

  • NPI: 1700860756
  • Provider Name: ANNA LAKE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1 UNIVERSITY OF NEW MEXICO
    MSC06 3870
    ALBUQUERQUE, NM
    ZIP 87131
  • Phone: (505) 277-3136

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NPI Details

Anna Lake, MD is a family medicine in Albuquerque, NM. 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. Anna Lake, MD NPI is 1700860756. 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:

1 UNIVERSITY OF NEW MEXICO
MSC06 3870
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 277-3136
Fax: (505) 277-2020

The enumeration date for this NPI number is 12/2/2005 and was last updated on 11/8/2016.

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
1207Q00000XFamily Medicine91236NEW MEXICOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120007MEDICAIDNEW MEXICO
2F88934MEDICARE UPIN

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

NPI Synchronization or Removal

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