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

Carissa Lynn Lake, MSED

Individual provider Specialist · NPI 1376805275

Carissa Lynn Lake, MSED is a Specialist in Troy, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

2247 13th St
Troy, NY 12180-3017
Phone: (518) 273-1586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 484706101 (NY)

Record details

NPI number1376805275
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedJune 15, 2012
Last updated in NPPESJune 15, 2012

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