Lake, Byron Fisk
Lake, Byron Fisk is an individual health care provider with primary practice located at 300 Sierra College Dr Ste 170 , Grass Valley CA 95945-5083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lake, Byron Fisk can be contacted via phone (530) 273-4376.Contact Information
Primary practice address
300 Sierra College Dr Ste 170
Grass Valley CA 95945-5083
Phone: (530) 273-4376
Fax: (530) 273-6426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G58831 | California |
Profile Details
| NPI number | 1891832242 |
|---|---|
| LBN Legal business name | Lake, Byron Fisk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Feb 20th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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