Lake, Kari Anne

Lake, Kari Anne is an sole proprietor health care provider with primary practice located at 1708A Owen Dr , Fayetteville NC 28304-3419. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lake, Kari Anne can be contacted via phone (910) 307-7330.

Contact Information

Primary practice address
1708A Owen Dr Fayetteville NC 28304-3419
Phone: (910) 307-7330
Fax: (910) 307-7334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011-01164 North Carolina

Profile Details

NPI number 1720252786
LBN Legal business name Lake, Kari Anne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2008
Last updated May 2nd, 2023 - about last year

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 1720252786 NPPES
North Carolina Other 2011-01164 NORTH CAROLINA MEDICAL BOARD

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