Individual
WILLIAM CAREY LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1025 JADE DRIVEE, HANNA, WY 82327-8232
(307) 321-8782
Mailing address
1008 FELDSPAR CT, HANNA, WY 82327-5046
(859) 314-7052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4029358
KY
363LF0000X
Family Nurse Practitioner
Primary
44879
WY
Other
Enumeration date
11/07/2019
Last updated
02/23/2026
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