Lake, Rebecca A.

Lake, Rebecca A. is an sole proprietor health care provider with primary practice located at 612 Rosebud Plz , Clarksburg WV 26301-9386. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Lake, Rebecca A. can be contacted via phone (304) 622-1251.

Contact Information

Primary practice address
612 Rosebud Plz Clarksburg WV 26301-9386
Phone: (304) 622-1251
Fax: (304) 622-2352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 024447 West Virginia

Profile Details

NPI number 1972690311
LBN Legal business name Lake, Rebecca A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 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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