Lake, James Evan

Lake, James Evan is an sole proprietor health care provider with primary practice located at 843 N Cleveland Massillon Rd , Fairlawn OH 44333-2184. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Lake, James Evan can be contacted via phone (330) 723-7977.

Contact Information

Primary practice address
843 N Cleveland Massillon Rd Fairlawn OH 44333-2184
Phone: (330) 723-7977
Fax: (330) 239-8599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 21-169 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.0008277 Ohio

Profile Details

NPI number 1801556899
LBN Legal business name Lake, James Evan
Credentials MA, PC, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2021
Last updated Dec 18th, 2021 - about 3 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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