MR. Ronald Lake II, C.HT.

NPI #1255721684 in Prescott, Arizona

Provider Information

NPI Number: 1255721684
Entity Type: Individual
Name: MR. Ronald Lake II, C.HT.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: C.HT.
Enumeration Date: Jan 22, 2015
Last Updated: Jan 22, 2015

Practice Location

Address: 807 LIZZARD LN
City: Prescott
State: Arizona
ZIP Code: 86303-4517
Phone: (800) 541-9928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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