Abigail Diane Lake is a Rockford, Illinois based nurse practitioner. Active license number of Abigail Diane Lake is 209.028520 for Psych/Mental Health in Illinois. Her current practice location is 8616 Northern Ave, Rockford. Patients can reach her at 815-399-9700 or can fax her at 815-394-1401. Abigail Diane Lake is DNP, PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1730669409. Abigail Diane Lake has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Abigail Diane Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730669409
NPI Enumeration Date:
21 Aug, 2018
NPI Last Update On:
23 Oct, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Abigail Diane Lake are as mentioned below.
License Number
Specialization
State
Status
209.028520
Psych/Mental Health
Illinois
Primary
041404632
Registered Nurse
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Abigail Diane Lake 1021 N Mulford Rd, Rockford, Illinois
Zip:
61107-3877
Patients can reach Abigail Diane Lake at 8616 Northern Ave, Rockford, Illinois or can call to book an appointment on 815-399-9700.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.