MS. CAROL LAKE FNP
NPI 1891028346
Nurse Practitioner - Family in Baltimore, MD

Q: What is Carol Lake's NPI number?

The NPI number for Carol Lake is 1891028346. It was assigned to this individual provider in the NPPES registry on September 16, 2009. The provider is also known as Ms. Carol Wilkes Fnp.

Q: What is Carol 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 Carol Lake was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 16, 2009

430 S BROADWAY, BALTIMORE, MD 21231(443) 825-3450 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Carol Lake Fnp NPPES

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

MS. CAROL LAKE FNP (NPI 1891028346) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R101279) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1891028346

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CAROL LAKECredential: FNP

Location Address430 S BROADWAYBaltimore, MD 21231-2409

Mailing Address430 S BroadwayBaltimore, MD 21231-2409 · (443) 825-3450

Phone(443) 825-3450

Sole ProprietorYes

Enumeration DateSeptember 16, 2009

Last NPPES UpdateOctober 5, 2012

✔ NPI 1891028346 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 MD · R101279

430 S BROADWAY, Baltimore, MD 21231

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Other Names 1

Former Name (1)Ms. Carol Wilkes Fnp

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 Carol Lake's NPI number?

The NPI number for Carol Lake is 1891028346. It was assigned to this individual provider in the NPPES registry on September 16, 2009. The provider is also known as Ms. Carol Wilkes Fnp.

Where is Carol Lake located?

Carol Lake practices at 430 S Broadway, Baltimore, MD 21231. The listed phone number is (443) 825-3450.

What is Carol 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 Carol Lake was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.