BERNADINE VERNETTA LAKE M.D. NPI 1902127509

NPI Information

Bernadine Vernetta Lake, M.D. is a student in an organized health care education training program in Memphis, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bernadine Vernetta Lake, M.D. NPI is 1902127509. 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:

UNIVERSITY OF TENNESSE
910 MADISON AVENUE SUITE 1031
MEMPHIS, TN
ZIP 38163-001
Phone: (901) 448-5364

The enumeration date for this NPI number is 6/17/2010 and was last updated on 6/17/2010.

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:

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