Tiffany Lake
NPI #1346076403 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1346076403
- Entity Type
- Individual
- Name
- Tiffany Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 13, 2024
- Last Updated
- Sep 13, 2024
Practice Location
- Address
- 908 PURCHASE ST STE 308
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02740-6234
- Phone
- (617) 750-6071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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