DR. NORMA SALENAH LAKE MD NPI 1912906686

NPI Information

NPI: 1912906686
Provider Name: DR. NORMA SALENAH LAKE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11160 SW 88TH STREET
SUITES 104 & 105
MIAMI, FL
ZIP 33176
Phone: (786) 263-0911
Get Directions

DR. Norma Salenah Lake, MD is a family medicine in Miami, FL with 44 years of experience. 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. DR. Norma Salenah Lake, MD NPI is 1912906686. 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:

11160 SW 88TH STREET
SUITES 104 & 105
MIAMI, FL
ZIP 33176-949
Phone: (786) 263-0911
Fax: (786) 263-0761

The NPI 1912906686 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 7/15/2005 and was last updated on 7/2/2008.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	35068277	OHIO	No
2	207Q00000X	Family Medicine	4595588	MICHIGAN	No
3	207Q00000X	Family Medicine	ME 81467	FLORIDA	Yes

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
1	000000141284	OTHER	OHIO	ANTHEM
2	01-03310	OTHER	OHIO	UHC
3	578183170-007	OTHER	OHIO	MMOH
4	G03292	MEDICARE UPIN	OHIO
5	080130460	OTHER	OHIO	RRMC
6	0151642	MEDICAID	OHIO
7	0637962	OTHER	OHIO	AETNA
8	VI0811122	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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