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
Fax: (972) 923-0493
Website:

Health care specialties

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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