Lake, Samuel Lyon
Lake, Samuel Lyon is an individual health care provider with primary practice located at 14420 Bel Red Rd Ste 105 , Bellevue WA 98007-3930. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Lake, Samuel Lyon can be contacted via phone (425) 641-4200.Contact Information
Primary practice address
14420 Bel Red Rd Ste 105
Bellevue WA 98007-3930
Phone: (425) 641-4200
Fax: (425) 641-4418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5283 | Washington |
Profile Details
| NPI number | 1306968003 |
|---|---|
| LBN Legal business name | Lake, Samuel Lyon |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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