Individual
DR. TIFFINI JAYE LAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, DEPT OF ANESTHESIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-2415
(802) 847-5324
Mailing address
PO BOX 1063, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05402-1063
(802) 847-2415
(802) 847-5324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011631
—
VT
Enumeration date
01/03/2006
Last updated
09/11/2025
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