| Linda Lake, CRNA | |
|
3026 Brisbane Dr, Mount Juliet, TN 37122-8500 | |
| (615) 754-7658 | |
| Not Available |
| Full Name | Linda Lake |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3026 Brisbane Dr, Mount Juliet, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457352320 | NPI | - | NPPES |
| 3633942 | Medicaid | TN | |
| 74008814 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 020316 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Lake, CRNA 3026 Brisbane Dr, Mount Juliet, TN 37122-8500 Ph: () - | Linda Lake, CRNA 3026 Brisbane Dr, Mount Juliet, TN 37122-8500 Ph: (615) 754-7658 |
Mr. Steven C Depass, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 448 Quarry Rd, Mount Juliet, TN 37122 Phone: 615-453-1089 Fax: 615-453-1089 | |
Kate Priebe, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 540 Sandy Dr, Mount Juliet, TN 37122 Phone: 615-574-5594 |