Individual
LINDA LAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3026 BRISBANE DR, MOUNT JULIET, TN 37122-8500
(615) 754-7658
Mailing address
3026 BRISBANE DR, MOUNT JULIET, TN 37122-8500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
020316
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633942
—
TN
05
—
74008814
—
KY
Enumeration date
08/02/2005
Last updated
07/08/2007
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