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

Virginia Lake

Individual provider Registered Nurse · NPI 1720738867

Virginia Lake is a Registered Nurse in Dalton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

812 Thornton Pl
Dalton, GA 30720-5228
Phone: (404) 578-7393
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 225227 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 225227 (GA)

Record details

NPI number1720738867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address812 Thornton Pl, Dalton, GA 30720-5228

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