Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA A. LAKE
Active Sole ProprietorREBECCA A. LAKE is a Optician, Dispensing healthcare provider located in CLARKSBURG, West Virginia. NPI 1972690311 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · CLARKSBURG, WV
Registration Details
- NPI Number
- 1972690311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2006 (19.875156992317 yrs)
- Last Updated
- Jul 8, 2007
- License
-
024447 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 ROSEBUD PLZCLARKSBURG, WV, 263019386Browse WV providers · Browse ZIP 26301
- Phone
- 3046221251
- Fax
- 3046222352
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.