Lake, Terry
Lake, Terry is an sole proprietor health care provider with primary practice located at 130 W Steve Owens Blvd , Miami OK 74354-7629. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lake, Terry can be contacted via phone (918) 542-2845.Contact Information
Primary practice address
130 W Steve Owens Blvd
Miami OK 74354-7629
Phone: (918) 542-2845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1760809180 |
|---|---|
| LBN Legal business name | Lake, Terry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2014 |
| Last updated | Mar 24th, 2014 - about 11 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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