Individual
DR. TIERNEY A LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 764-3352
(970) 764-3375
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0052399
CO
208M00000X
Hospitalist Physician
Primary
DR.0052399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52399
STATE LICENSE
CO
Enumeration date
04/14/2010
Last updated
01/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us