Lake, Lisa Ramsland

Lake, Lisa Ramsland is an individual health care provider with primary practice located at 4517 Callie Downs Drive , Gainesville GA 30506-5126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lake, Lisa Ramsland can be contacted via phone (678) 943-5130.

Contact Information

Primary practice address
4517 Callie Downs Drive Gainesville GA 30506-5126
Phone: (678) 943-5130
Fax: (770) 783-6599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT001143 Georgia

Profile Details

NPI number 1831372234
LBN Legal business name Lake, Lisa Ramsland
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Jan 24th, 2011 - about 13 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 1831372234 NPPES
Georgia MEDICAID 419667629A
Georgia MEDICAID 419667629B
Georgia MEDICAID 419667629D
Georgia MEDICAID 419667629C

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