Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charissa Lake

Pediatric Surgery Physician in Albuquerque, NM · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124479225

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Registry record

Entity type Individual (Type 1)

Name Charissa Lake

Sex Female

Practice address 201 Cedar St Se Ste 4660, Albuquerque, NM, 87106

Phone (505) 563-6530

Fax (505) 224-7479

Enumeration date Jun 29, 2016

Last updated in NPPES Sep 28, 2026

Taxonomy & licenses

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians · License MD2026-0775 (NM) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Charissa Lake practice?

The practice location on file with NPPES is in Albuquerque, NM. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Charissa Lake?

The National Provider Identifier (NPI) for Charissa Lake is 1124479225, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-28.