NPI 1346076403

Tiffany Lake

Practitioner Peer Specialist New Bedford, MA

Practice location

Address: 908 Purchase St STE 308, New Bedford, MA 02740-6234
Phone: (617) 750-6071

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1346076403
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2024
Record last updated: 13 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.