IndividualActive
Alicia Lake, MSN, NP-C
NPI 1891449625 · Family Nurse Practitioner · Hannibal, MO
Provider details
- NPI number
- 1891449625
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2021023511 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3300
Fax: (573) 629-3314
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1239
Hannibal, MO 63401-1239
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.