BRITTANY J LAKE MD
NPI 1609616812
Student in an Organized Health Care Education/Training Program in Southaven, MS
About Brittany J Lake Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRITTANY J LAKE MD (NPI 1609616812) is an individual student in an organized health care education/training program in Southaven, Mississippi and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brittany J Lake Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
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 Brittany Lake's NPI number?
The NPI number for Brittany Lake is 1609616812. It was assigned to this individual provider in the NPPES registry on May 28, 2024.
Where is Brittany Lake located?
Brittany Lake practices at 7601 Southcrest Pkwy, Southaven, MS 38671. The listed phone number is (662) 772-3607.
What is Brittany Lake's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brittany Lake enrolled in Medicare?
Yes. Brittany Lake is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brittany Lake was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Brittany J Lake, MD · NPI 1609616812
Student in an Organized Health Care Education/Training Program provider in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1609616812 (Entity type: Individual)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 7601 SOUTHCREST PKWY, Southaven, MS 38671-4742
- **Phone:** (662) 772-3607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609616812) · Data from the CMS NPPES public registry.