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

Shane Michael Lake

Individual provider Community Health Worker · NPI 1588135008

Shane Michael Lake is a Community Health Worker in Bethel, Alaska. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559
Phone: (907) 543-6100
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1588135008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESDecember 10, 2018
Mailing addressPo Box 528, Bethel, AK 99559-0528

Other providers in Bethel