MR. LAWRENCE LELAND LAKE (CRNP) – Family Nurse Practitioner, NPI 1811542269

MR. LAWRENCE LELAND LAKE (CRNP) is a healthcare provider. based in Odenville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-127139 (AL). The NPI Number for MR. LAWRENCE LELAND LAKE (CRNP) is 1811542269

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. LAWRENCE LELAND LAKE (CRNP)
NPI
1811542269
Phone
(205) 441-1483
Address
830 MOONLITE DR
Enumeration Date
2 August 2019
Last Update Date
16 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059465741
Graduation Year
2019 (7 years ago)
PAC ID
7618209594
Group Practice PAC ID
8729402037
Professional Enrollment ID
I20191025000690
Address ID
AL352353166BI5006XSQXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. LAWRENCE LELAND LAKE (CRNP)

  • 830 MOONLITE DR

    ODENVILLE, AL 351205463

    Phone: (205) 441-1483

    Type: Mailing

  • 995 9th Ave SW

    Bessemer, AL 350224527

    Phone: (205) 481-7160

    Type: Location

  • 604 Stone Ave

    Talladega, AL 351602217

    Phone: (256) 362-8111

    Type: Location

  • 3400 Highway 78 E

    Jasper, AL 355018956

    Phone: (205) 387-4000

    Type: Location

  • 1000 1st St N

    Alabaster, AL 350078703

    Phone: (205) 620-8100

    Type: Location

  • NW Corner of Tuscaloosa Av & 7th St SW, 701, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35254, United States

    BIRMINGHAM, AL 352111303

    Phone: (205) 783-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191025000690INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making126123$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6358$0
99284Emergency department visit with moderate level of medical decision making4746$0
99291Critical care, first 30-74 minutes2323$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 35120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729402037View full group profile
NameSpecialtyState
Sports MedicineGA
Nurse PractitionerAL
Physician AssistantAL
Physician AssistantAL
Nurse PractitionerAL
Physician AssistantAL
Physician AssistantAL
Internal Medicine, Sports MedicineAL
Physician AssistantAL
Sports Medicine, Family PracticeSC

Reviews

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Frequently asked questions

What federal number belongs to MR. LAWRENCE LELAND LAKE (CRNP)?
The federal identifier for MR. LAWRENCE LELAND LAKE (CRNP) is NPI 1811542269.
Is MR. LAWRENCE LELAND LAKE (CRNP) currently active in the NPI registry?
CMS-published data lists MR. LAWRENCE LELAND LAKE (CRNP) as an active registrant.
Can you summarize MR. LAWRENCE LELAND LAKE (CRNP)'s specialty in plain language?
Clinically, the directory lists MR. LAWRENCE LELAND LAKE (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. LAWRENCE LELAND LAKE (CRNP) practice in Alabama?
You will see Odenville, Alabama on file for MR. LAWRENCE LELAND LAKE (CRNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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