Leslie Lake, FNP-BC
NPI 1134877525 · Nurse Practitioner · Berlin, MD
Leslie Lake, FNP-BC is a Nurse Practitioner provider in Berlin, MD (NPI 1134877525).
Provider details
- NPI number
- 1134877525
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- R155906 (MD)
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.