Lake, Jason S.

Lake, Jason S. is an individual health care provider with primary practice located at 601 E Russell Ave , Warrensburg MO 64093-9605. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lake, Jason S. can be contacted via phone (660) 747-2020.

Contact Information

Primary practice address
601 E Russell Ave Warrensburg MO 64093-9605
Phone: (660) 747-2020
Fax: (660) 747-0574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO3409 Missouri

Profile Details

NPI number 1629022777
LBN Legal business name Lake, Jason S.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Nov 21st, 2013 - about 11 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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