Lake, Norma Salenah

Lake, Norma Salenah is an sole proprietor health care provider with primary practice located at 11160 Sw 88Th Street Suites 104 & 105, Miami FL 33176-0949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lake, Norma Salenah can be contacted via phone (786) 263-0911.

Contact Information

Primary practice address
11160 Sw 88Th Street Suites 104 & 105 Miami FL 33176-0949
Phone: (786) 263-0911
Fax: (786) 263-0761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35068277 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 81467 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4595588 Michigan

Profile Details

NPI number 1912906686
LBN Legal business name Lake, Norma Salenah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Jul 2nd, 2008 - about 18 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 1912906686 NPPES
Ohio Other 0637962 AETNA
Ohio Other 578183170-007 AETNA
Ohio Other 080130460 AETNA
Ohio Other 01-03310 AETNA
Ohio MEDICAID 0151642 AETNA
Ohio Other 000000141284 AETNA

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