Lake, Madison Jesse
Lake, Madison Jesse is an individual health care provider with primary practice located at 1701 Sw 16Th Ave Bldg B , Gainesville FL 32608-1153. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Lake, Madison Jesse can be contacted via phone (352) 294-5050.Contact Information
Primary practice address
1701 Sw 16Th Ave Bldg B
Gainesville FL 32608-1153
Phone: (352) 294-5050
Fax: (352) 294-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Genetic Counselor, MS | 170300000X |
Profile Details
| NPI number | 1427786672 |
|---|---|
| LBN Legal business name | Lake, Madison Jesse |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2022 |
| Last updated | Aug 15th, 2022 - 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.
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