BERNADINE VERNETTA LAKE M.D.
NPI 1902127509
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Bernadine Lake's NPI number?

The NPI number for Bernadine Lake is 1902127509. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Bernadine Lake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bernadine Lake was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 17, 2010

UNIVERSITY OF TENNESSE, 910 MADISON AVENUE SUITE 1031, MEMPHIS, TN 38163(901) 448-5364 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Bernadine Vernetta Lake M.d. NPPES

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

BERNADINE VERNETTA LAKE M.D. (NPI 1902127509) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1902127509

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBERNADINE VERNETTA LAKECredential: M.D.

Location AddressUNIVERSITY OF TENNESSE, 910 MADISON AVENUE SUITE 1031Memphis, TN 38163-0001

Mailing Address26160 W 12 Mile Rd, Apt C-33Southfield, MI 48034-1764 · (313) 623-7688

Phone(901) 448-5364

Sole ProprietorYes

Enumeration DateJune 17, 2010

✔ NPI 1902127509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

UNIVERSITY OF TENNESSE, Memphis, TN 38163

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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 Bernadine Lake's NPI number?

The NPI number for Bernadine Lake is 1902127509. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Bernadine Lake located?

Bernadine Lake practices at University Of Tennesse 910 Madison Avenue Suite 1031, Memphis, TN 38163. The listed phone number is (901) 448-5364.

What is Bernadine Lake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bernadine Lake was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.