Lake, Jimma Lanelle
Lake, Jimma Lanelle is an sole proprietor health care provider with primary practice located at 112 Vintage Dr , Waxahachie TX 75165-6510. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Lake, Jimma Lanelle can be contacted via phone (214) 632-9075.Contact Information
Primary practice address
112 Vintage Dr
Waxahachie TX 75165-6510
Phone: (214) 632-9075
Fax: (972) 923-0493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2012555 | Texas |
Profile Details
NPI number | 1992900336 |
---|---|
LBN Legal business name | Lake, Jimma Lanelle |
Credentials | LPTA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 17th, 2007 |
Last updated | Jul 8th, 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.
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