NPI Profile for STEPHANIE J LAKE in DAVIS, CA.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1891058947 |
|
| Status | Active | |
| Credentials | CATC | |
| Entity | Individual | |
| Enumeration date | 06/22/2012 | |
| Last updated | 06/22/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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STEPHANIE J LAKE
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