Abigail Diane Lake, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rockford, IL with 1 years of experience. Abigail Diane Lake, DNP, PMHNP-BC NPI is 1730669409. 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:
8616 NORTHERN AVE
ROCKFORD, IL
ZIP 61107-309
Phone: (815) 399-9700
Fax: (815) 394-1401
The NPI 1730669409 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 8/21/2018 and was last updated on 10/23/2023.