NPI 1649258468 · live from the CMS NPI Registry
Tiffini Jaye Lake, MD
Anesthesiology, Pain Medicine in Burlington, VT. National Provider Identifier 1649258468, active.
NPI record
| NPI | 1649258468 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 111 Colchester Ave, Dept Of Anesthesiology, Burlington, VT 05401 |
| Practice phone | 802-847-2415 |
| Mailing address | Po Box 1063, Fletcher Allen Health Care, Burlington, VT 05402 |
| Enumerated | January 3, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 420010863 (VT) |
| Anesthesiology, Pain Medicine primary | 207LP2900X | 420010863 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.