Angela W. Lakes, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA563 Issued in KY

Practice address

803 Meyers Baker Rd
Ste 200
London, KY 40741-3039

Phone

(606) 878-3240

Fax

(606) 878-4308

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• London Women'S Care, LLC

  • Obstetrics & Gynecology Physician
  • London, KY
  • NPI 1063454650

  KY

  Medicare reassignment

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891737375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 MEYERS BAKER RD",
            "address_2": "STE 200",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413039",
            "telephone_number": "606-878-3240",
            "fax_number": "606-878-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 MEYERS BAKER RD",
            "address_2": "STE 200",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413039",
            "telephone_number": "606-878-3240",
            "fax_number": "606-878-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKES",
        "first_name": "ANGELA",
        "middle_name": "W.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95003323",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A Krueger, L.M.T.
• Jerry Kunkel, APRN
• Megan Kunkel, APRN-CNP
• Ky Dermatology & Skin Cancer
• Laboratory Corporation of America
• Jennifer Elizabeth Lakes, M.ED.
• Breanna Lynn Lamb
• Sabrina Lambert, APRN
• Lindsey Maureen Landers, APRN
• Brandy Jean Lasley, FNP-C APRN

• All providers in London, KY
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.