Lake, Donna Ann

Lake, Donna Ann is an sole proprietor health care provider with primary practice located at 1300 Camino Sierra Vis Bf Young Center, Santa Fe NM 87505-1007. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lake, Donna Ann can be contacted via phone (505) 954-2504.

Contact Information

Primary practice address
1300 Camino Sierra Vis Bf Young Center Santa Fe NM 87505-1007
Phone: (505) 954-2504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 276 New Mexico

Profile Details

NPI number 1306974241
LBN Legal business name Lake, Donna Ann
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306974241 NPPES
New Mexico MEDICAID R7077

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