SARA ROSE LAKE LPN
NPI 1487800751
Licensed Practical Nurse in Cortland, NY

Q: What is Sara Lake's NPI number?

The NPI number for Sara Lake is 1487800751. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Sara Lake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Sara Lake was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since August 18, 2008

111 PORT WATSON ST, CORTLAND, NY 13045(607) 753-9326 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sara Rose Lake Lpn NPPES

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

SARA ROSE LAKE LPN (NPI 1487800751) is an individual licensed practical nurse in Cortland, New York, licensed in New York (282607-1) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1487800751

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSARA ROSE LAKECredential: LPN

Location Address111 PORT WATSON STCortland, NY 13045-3157

Mailing Address111 Port Watson StCortland, NY 13045-3157 · (607) 753-9326

Phone(607) 753-9326

Sole ProprietorNo

Enumeration DateAugust 18, 2008

✔ NPI 1487800751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 282607-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

111 PORT WATSON ST, Cortland, NY 13045

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Other Providers at the Same Location NPPES 20

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

ERIN E. GRAY LCSW

Social Worker (Clinical)