person
Rebecca A. Lake
Optician in Clarksburg, West Virginia
NPI 1972690311

Rebecca A. Lake is a Optician based in Clarksburg, WV and is specialized in Optician. Rebecca A. Lake practices in Clarksburg, WV. The NPI Number for Rebecca A. Lake is 1972690311 and holds a License No. 024447 (West Virginia).

The current practice location address for Rebecca A. Lake is 612 Rosebud Plz, Clarksburg, WV and can be reached out via phone at 304-622-1251 and via fax at 304-622-2352. You can also correspond with Rebecca A. Lake through the mailing address at 612 ROSEBUD PLZ, CLARKSBURG, WV - 26301-9386 (mailing address contact number: 304-622-1251).

Location: 612 Rosebud Plz, Clarksburg, WV, 26301-9386
person
Provider Profile Details
NPI Number
1972690311
Provider Name
Rebecca A. Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Rosebud Plz, Clarksburg, WV, 26301-9386
Phone Number
304-622-1251
Fax Number
304-622-2352
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
612 Rosebud Plz
City
State
Zip
26301-9386
Phone Number
304-622-1251
Fax Number
304-622-2352
person
Provider Business Mailing Address Details
Address
612 Rosebud Plz
City
State
Zip
26301-9386
Phone Number
304-622-1251
Fax Number
304-622-2352
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
024447 (West Virginia)
Definition
Definition to come...
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