Lake, Kari Anne
Lake, Kari Anne is an sole proprietor health care provider with primary practice located at 1708A Owen Dr , Fayetteville NC 28304-3419. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lake, Kari Anne can be contacted via phone (910) 307-7330.Contact Information
Primary practice address
1708A Owen Dr
Fayetteville NC 28304-3419
Phone: (910) 307-7330
Fax: (910) 307-7334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2011-01164 | North Carolina |
Profile Details
| NPI number | 1720252786 |
|---|---|
| LBN Legal business name | Lake, Kari Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2008 |
| Last updated | May 2nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720252786 | NPPES |
| North Carolina | Other | 2011-01164 | NORTH CAROLINA MEDICAL BOARD |
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