Elizabeth Page Lake, PHARMD

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

E-13989 Issued in MS

Practice address

2200 Fort Roots Dr
North Little Rock, AR 72114-1709

Phone

(501) 257-3169

NPI assigned

Dec 12, 2014

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1316345937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-3169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Woodrow Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392165116",
            "country_code": "US",
            "telephone_number": "601-362-4471 x5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ELIZABETH",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-13989",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MS",
            "license": "E-13989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02920825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rena Michelle Lacheen, PHARMD
• Crystal N Lackey, PT, DPT
• William David Lackey Jr., LPC
• Lafaye Holdings (Compassionate Care at Home)
• Justin M Laffoon, LCSW
• Lakewood Behavioral Health Associates
• Lakewood Dental Care
• Lakewood Dental Care
• Lakewood Health and Rehab, LLC
• Lakewood Nursing and Rehabilitation Center, LLC (Lakewood Nursing and Rehabilitation Center)

• Psychiatric Pharmacist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Psychiatric Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.