Mrs Joleen M Lake, APRN is a
Nurse Practitioner based in Ft. Myers, Florida. Mrs Joleen M Lake is licensed to practice in Florida (license number 11003074) and her current practice location is
12735 Kenwood Lane, Suite 75, Ft. Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 936-3333.
NPI number for Mrs Joleen M Lake is 1922267467 and her current mailing address is 12735 Kenwood Lane, Suite 75, Ft. Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922267467.
Provider's Profile
| Full Name | Mrs Joleen M Lake |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
|---|
| Location | 12735 Kenwood Lane, Ft. Myers, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922267467
- Provider Enumeration Date: 06/09/2008
- Last Update Date: 06/09/2022
Medical Identifiers
Medical identifiers for Mrs Joleen M Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922267467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 11003074 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Joleen M Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Joleen M Lake, APRN
12735 Kenwood Lane, Suite 75,
Ft. Myers, FL 33907
Ph: (239) 936-3333 | Mrs Joleen M Lake, APRN
12735 Kenwood Lane, Suite 75,
Ft. Myers, FL 33907
Ph: (239) 936-3333 |
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