Lake, Randolph Lewis
Lake, Randolph Lewis is an sole proprietor health care provider with primary practice located at 3200 Ne Sunset Blvd , Renton WA 98056-3335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lake, Randolph Lewis can be contacted via phone (425) 228-2555.Contact Information
Primary practice address
3200 Ne Sunset Blvd
Renton WA 98056-3335
Phone: (425) 228-2555
Fax: (425) 228-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00005282 | Washington |
Profile Details
| NPI number | 1528134509 |
|---|---|
| LBN Legal business name | Lake, Randolph Lewis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| 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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