Lake, Geoffrey Allyn
Lake, Geoffrey Allyn is an individual health care provider with primary practice located at 22001 Fairmount Blvd , Shaker Heights OH 44118-4819. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lake, Geoffrey Allyn can be contacted via phone (216) 932-6152.Contact Information
Primary practice address
22001 Fairmount Blvd
Shaker Heights OH 44118-4819
Phone: (216) 932-6152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S.1200724 | Ohio |
Profile Details
| NPI number | 1982952503 |
|---|---|
| LBN Legal business name | Lake, Geoffrey Allyn |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Aug 29th, 2012 - about 14 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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