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Contact Information

KAREN LAKE, PHD
3010 S HARVARD AVE
SUITE 110
TULSA, OK74114-6124
 Phone: 918-749-1840
 Fax: 918-749-1841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KAREN LAKE · (Female)

NPI # 1861813115
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/03/2014
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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