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Mr. Ronald Lake II, CHT
Specialist in Prescott, Arizona
NPI 1255721684

Ronald Lake II is a Specialist based in Prescott, AZ. Ronald Lake II practices in Prescott, AZ and has the professional credentials of CHT. The NPI Number for Ronald Lake II is 1255721684 and holds a License No. 11388927 (Arizona).

The current practice location address for Ronald Lake II is 807 Lizzard Ln, Prescott, AZ and can be reached out via phone at 800-541-9928.

Location: 807 Lizzard Ln, Prescott, AZ, 86303-4517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255721684
Provider Name
Ronald Lake II
Credential
CHT
Provider Entity Type
Individual
Gender
Male
Address
807 Lizzard Ln, Prescott, AZ, 86303-4517
Phone Number
800-541-9928
Fax Number
Provider Enumeration Date
01/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
807 Lizzard Ln
City
Prescott
State
Arizona
Zip
86303-4517
Phone Number
800-541-9928
Fax Number
person
Provider Business Mailing Address Details
Address
807 Lizzard Ln
City
Prescott
State
Arizona
Zip
86303-4517
Phone Number
800-541-9928
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11388927 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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