Lake, Mary Ellen (Nmn)

Lake, Mary Ellen (Nmn) is an sole proprietor health care provider with primary practice located at 2020 W Colorado Ave Suite 101, Colorado Springs CO 80904-3882. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lake, Mary Ellen (Nmn) can be contacted via phone (719) 660-1686.

Contact Information

Primary practice address
2020 W Colorado Ave Suite 101 Colorado Springs CO 80904-3882
Phone: (719) 660-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 709188 Colorado

Profile Details

NPI number 1952513996
LBN Legal business name Lake, Mary Ellen (Nmn)
Credentials LMT, CNMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jul 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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