Individual
MS. FAITH ARLEEN LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9048 SUGAR ESTATE, ST THOMAS, VI 00802
(340) 714-3278
(340) 714-3279
Mailing address
PO BOX 7354, ST THOMAS, VI 00801-0354
(340) 714-3278
(340) 714-3279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016
VI
363AM0700X
Medical Physician Assistant
Primary
016
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016
PHYSICIAN ASSISTANT
VI
01
—
363A00000X
TAXONOMY CODE
—
Enumeration date
10/04/2007
Last updated
12/23/2015
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