Lake, Tonya

Lake, Tonya is an individual health care provider with primary practice located at 3500 N Elm Ave , Jackson MI 49201-8887. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lake, Tonya can be contacted via phone (517) 780-5000.

Contact Information

Primary practice address
3500 N Elm Ave Jackson MI 49201-8887
Phone: (517) 780-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704226641 Michigan

Profile Details

NPI number 1952706236
LBN Legal business name Lake, Tonya
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated Oct 29th, 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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