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Kan Lake Corporation Inc.

Assisted Living Facility (Mental Illness) in Fort Pierce, FL · enumerated 2011 · authorized official Kamlawaty Lakram, Administrator.

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

National Provider Identifier

1477846129

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Registry record

Entity type Organization (Type 2)
Legal business name Kan Lake Corporation Inc.
Practice address 308 S 30th St, Fort Pierce, FL, 34947
Phone (772) 519-4327
Enumeration date May 26, 2011
Last updated in NPPES May 26, 2011

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities · License AL9025 (FL) Primary

Authorized official

Name Kamlawaty Lakram
Title Administrator
Phone (772) 519-4327

Other identifiers

Identifier Type State Issuer
141943900 Medicaid FL -

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

Who is the authorized official for Kan Lake Corporation Inc.?
NPPES lists Kamlawaty Lakram (Administrator) as the authorized official for this organization.
What is the NPI number for Kan Lake Corporation Inc.?
The NPI for Kan Lake Corporation Inc. is 1477846129, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-26.