Lake, Ronald

Lake, Ronald is an sole proprietor health care provider with primary practice located at 807 Lizzard Ln , Prescott AZ 86303-4517. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lake, Ronald can be contacted via phone (800) 541-9928.

Contact Information

Primary practice address
807 Lizzard Ln Prescott AZ 86303-4517
Phone: (800) 541-9928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11388927 California

Profile Details

NPI number 1255721684
LBN Legal business name Lake, Ronald
Credentials C.HT.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2015
Last updated Jan 22nd, 2015 - about 11 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.

Request for update

Popular Providers