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Stephanie J Lake, CATC
Specialist in Davis, California
NPI 1891058947

Stephanie J Lake is a Specialist based in Davis, CA. Stephanie J Lake practices in Davis, CA and has the professional credentials of CATC. The NPI Number for Stephanie J Lake is 1891058947 and holds a License No. CATC #091698 (California).

The current practice location address for Stephanie J Lake is One Shields Ave, Davis, CA and can be reached out via phone at 530-752-6334 and via fax at 530-752-4252.

Location: One Shields Ave, Davis, CA, 95616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891058947
Provider Name
Stephanie J Lake
Credential
CATC
Provider Entity Type
Individual
Gender
Female
Address
One Shields Ave, Davis, CA, 95616
Phone Number
530-752-6334
Fax Number
530-752-4252
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
One Shields Ave
City
Davis
State
California
Zip
95616
Phone Number
530-752-6334
Fax Number
530-752-4252
person
Provider Business Mailing Address Details
Address
One Shields Ave
City
Davis
State
California
Zip
95616
Phone Number
530-752-6334
Fax Number
530-752-4252
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CATC #091698 (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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