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

Mrs. Pearl A Lake

Individual provider Military Health Care Provider · NPI 1053907261

Mrs. Pearl A Lake is a Military Health Care Provider in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2214 S 57th St
Philadelphia, PA 19143-5705
Phone: (886) 884-8807
Fax: (215) 825-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 7000.000000634RMA (PA)
Military Health Care Provider Taxonomy 171000000X · Licence 70000634RMA (PA)

Record details

NPI number1053907261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020

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