Rebecca A. Lake
NPI #1972690311 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1972690311
- Entity Type
- Individual
- Name
- Rebecca A. Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 612 ROSEBUD PLZ
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-9386
- Phone
- (304) 622-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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