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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAURA LAKE CRNP
NPI 1447179692
Family Medicine in Reform, AL

Active since July 13, 2026
108 4TH AVE SW STE A, REFORM, AL 35481(205) 375-6251(205) 375-9064 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Lake Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA LAKE CRNP (NPI 1447179692) is an individual family medicine provider in Reform, Alabama, licensed in Alabama (1191389) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1447179692
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAURA LAKECredential: CRNP
Location Address108 4TH AVE SW STE AReform, AL 35481-8018
Mailing Address108 4th Ave Sw Ste AReform, AL 35481-8018 · (205) 375-6251 · Fax (205) 375-9064
Phone(205) 375-6251
Fax(205) 375-9064
Sole ProprietorYes
Enumeration DateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1447179692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 1191389
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1191389 (AL)
108 4TH AVE SW STE A, Reform, AL 35481
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JLBMD CONSULTING, PC
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
ROBERT NEIL HONEA MD
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
LACI JONES
Social Worker (Clinical)
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
CACYCE FOWLER
Nurse Practitioner (Family)
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
THERESA DARLENE PUTMAN CRNP
Nurse Practitioner
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
PICKENS COUNTY PRIMARY CARE PC
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
ERIN SIMPSON SHIRLEY FNP-C
Nurse Practitioner (Family)
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251
JLBMD CONSULTING, PC
Psychiatry & Neurology (Neurology)
108 4TH AVE SW STE A
REFORM, AL 35481
Pickens County (205) 375-6251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Lake's NPI number?

The NPI number for Laura Lake is 1447179692. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Laura Lake located?

Laura Lake practices at 108 4th Ave SW Ste A, Reform, AL 35481. The listed phone number is (205) 375-6251.

What is Laura Lake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Laura Lake was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.