Lake, Josephine H
Lake, Josephine H is an individual health care provider with primary practice located at 16525 Holly Crest Ln Ste 150 , Huntersville NC 28078-4911. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lake, Josephine H can be contacted via phone (704) 384-8720.Contact Information
Primary practice address
16525 Holly Crest Ln Ste 150
Huntersville NC 28078-4911
Phone: (704) 384-8720
Fax: (704) 384-8747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9800943 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9800943 | North Carolina |
Profile Details
| NPI number | 1326084732 |
|---|---|
| LBN Legal business name | Lake, Josephine H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326084732 | NPPES |
| North Carolina | MEDICAID | 891180C |
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