Lake, Jodi Gayle

Lake, Jodi Gayle is an individual health care provider with primary practice located at 2523 Lorentson Ct , Kokomo IN 46901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Lake, Jodi Gayle can be contacted via phone (765) 252-9909.

Contact Information

Primary practice address
2523 Lorentson Ct Kokomo IN 46901
Phone: (765) 252-9909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1457826869
LBN Legal business name Lake, Jodi Gayle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 11th, 2018 - about 6 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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