Lake, Lisa Ramsland
Lake, Lisa Ramsland is an individual health care provider with primary practice located at 4517 Callie Downs Drive , Gainesville GA 30506-5126. 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, Lisa Ramsland can be contacted via phone (678) 943-5130.Contact Information
Primary practice address
4517 Callie Downs Drive
Gainesville GA 30506-5126
Phone: (678) 943-5130
Fax: (770) 783-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT001143 | Georgia |
Profile Details
| NPI number | 1831372234 |
|---|---|
| LBN Legal business name | Lake, Lisa Ramsland |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Jan 24th, 2011 - about 15 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 | 1831372234 | NPPES |
| Georgia | MEDICAID | 419667629A | |
| Georgia | MEDICAID | 419667629B | |
| Georgia | MEDICAID | 419667629D | |
| Georgia | MEDICAID | 419667629C |
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