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Contact Information

TIFFINI J LAKE, MD
111 COLCHESTER AVE
DEPT OF ANESTHESIOLOGY
BURLINGTON, VT05401-1473
 Phone: 802-847-2415
 Fax: 802-847-5324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TIFFINI J LAKE · (Female)

NPI # 1649258468
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • VT Medicaid 1011631
Hospital affiliation(s)
  • CENTRAL VERMONT MEDICAL CENTER - (Acute Care)
    BOX 547
    BARRE, VT 05641
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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