Lake, Donna Ann
Lake, Donna Ann is an sole proprietor health care provider with primary practice located at 1300 Camino Sierra Vis Bf Young Center, Santa Fe NM 87505-1007. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lake, Donna Ann can be contacted via phone (505) 954-2504.Contact Information
Primary practice address
1300 Camino Sierra Vis Bf Young Center
Santa Fe NM 87505-1007
Phone: (505) 954-2504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 276 | New Mexico |
Profile Details
| NPI number | 1306974241 |
|---|---|
| LBN Legal business name | Lake, Donna Ann |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306974241 | NPPES |
| New Mexico | MEDICAID | R7077 |
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