Laura E Dietrich-lake
FNP-C | Nurse Practitioner - Psych/Mental Health | 9+ years Exp
4707 N 12th St, Phoenix
Arizona, 85014-4009
602-344-2506
Laura E Dietrich-lake is a Phoenix, Arizona based nurse practitioner with 9 years of experience as Psych/Mental Health NP. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Laura E Dietrich-lake is AP10869 for Psych/Mental Health NP in Arizona. Her current practice location is 4707 N 12th St, Phoenix. Patients can reach her at 602-344-2506 or can fax her at 602-247-9506. Laura E Dietrich-lake is FNP-C with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1639684046.
Laura E Dietrich-lake provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Laura E Dietrich-lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Laura E Dietrich-lake |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4707 N 12th St, Phoenix,
Arizona, 85014-4009 |
| Phone: | 602-344-2506 |
| Fax: | 602-247-9506 |
Professional Identification Codes:
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.
| PAC ID: | 8325300551 |
| Enrollment ID: | I20180327002419 |
| NPI Number: | 1639684046 |
| NPI Enumeration Date: | 07 Dec, 2017 |
| NPI Last Update On: | 27 Jan, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laura E Dietrich-lake are as mentioned below.
| License Number | Specialization | State | Status | |
| AP10869 | Psych/Mental Health NP | Arizona | Primary | |
| AP10869 | Family NP | Arizona | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Laura E Dietrich-lake is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| District Medical Group Inc (7315086691) | 343 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Laura E Dietrich-lake
2929 E Thomas Rd,
Phoenix, Arizona |
| Zip: | 85016-8034 |
| Phone Number: | 602-470-5000 |
| Fax Number: | 602-470-5064 |
Patients can reach Laura E Dietrich-lake at
4707 N 12th St, Phoenix, Arizona or can
call to book an appointment on 602-344-2506.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.