Lake, Lisa Ann

Lake, Lisa Ann is an individual health care provider with primary practice located at 1225 S Gear Ave Suite 159, West Burlington IA 52655-1691. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lake, Lisa Ann can be contacted via phone (319) 768-1570.

Contact Information

Primary practice address
1225 S Gear Ave Suite 159 West Burlington IA 52655-1691
Phone: (319) 768-1570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A120202 Iowa

Profile Details

NPI number 1013398023
LBN Legal business name Lake, Lisa Ann
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Feb 18th, 2016 - about 10 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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