Lake, Karen D

Lake, Karen D is an individual health care provider with primary practice located at 1 Windsor Cv Suite 108, Columbia SC 29223-1833. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lake, Karen D can be contacted via phone (803) 699-8887.

Contact Information

Primary practice address
1 Windsor Cv Suite 108 Columbia SC 29223-1833
Phone: (803) 699-8887
Fax: (803) 699-8824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 000690 South Carolina

Profile Details

NPI number 1487622197
LBN Legal business name Lake, Karen D
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487622197 NPPES
South Carolina MEDICAID PS0264

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