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

Mr. Lawrence Leland Lake, CRNP

Individual provider Emergency Registered Nurse · NPI 1811542269

Mr. Lawrence Leland Lake, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2019, 7 years ago. Practices with Orthosports1St PC, a 15-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone: (205) 783-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 1st St N, Alabaster, AL 35007-8703 — (205) 620-8100
  • 995 9th Ave Sw, Bessemer, AL 35022-4527 — (205) 481-7160
  • 3400 Highway 78 E, Jasper, AL 35501-8956 — (205) 387-4000
  • 604 Stone Ave, Talladega, AL 35160-2217 — (256) 362-8111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-127139 (AL)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 1-127139 (AL)

Record details

NPI number1811542269
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orthosports1st Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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