LINNEA R LAKE CFNP
NPI 1770550618
Nurse Practitioner - Family in Gulfport, MS

Q: What is Linnea Lake's NPI number?

The NPI number for Linnea Lake is 1770550618. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Linnea Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Linnea Lake was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 28, 2006

4500 W RAILROAD ST, GULFPORT, MS 39501(228) 863-8836 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 24, 2017, Jul 6, 2017 (3 updates tracked since 2017).

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About Linnea R Lake Cfnp NPPES

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

LINNEA R LAKE CFNP (NPI 1770550618) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (R787174) and active in the NPI registry since February 2006. She maintains a secondary practice location in Vancleave.

NPPES Registry Identity

NPI1770550618

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLINNEA R LAKECredential: CFNP

Location Address4500 W RAILROAD STGulfport, MS 39501-2479

Mailing AddressPo Box 475Biloxi, MS 39533

Phone(228) 863-8836

Sole ProprietorNo

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1770550618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R787174

4500 W RAILROAD ST, Gulfport, MS 39501

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Secondary Practice Location 1

Location 110828 Highway 57Vancleave, MS 39565 · Phone (228) 826-4711 · Fax (228) 826-0657

Other Identifiers 1

Medicaid00121696MS

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 Linnea Lake's NPI number?

The NPI number for Linnea Lake is 1770550618. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Linnea Lake located?

Linnea Lake practices at 4500 W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 863-8836.

What is Linnea Lake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Linnea Lake was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.