Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ahnna Lake, MD

Individual provider Family Medicine Physician · NPI 1649488107

Ahnna Lake, MD is a Family Practice in Morristown, Vermont. Qualified in 1988, 38 years ago. Practices as a sole proprietor. Licensed in Maine and Vermont.

Years since qualifying
38
Licensed in
ME, VT
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1123 Moran Loop
Morristown, VT 05661
Phone: (802) 253-9369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 42-8468 (VT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD21340 (ME)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 42-8468 (VT)

Record details

NPI number1649488107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing addressPo Box 119, Stowe, VT 05672-0119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare