Individual provider · Type 1 NPI
Ronald Lake Ii, C.HT.
Specialist · Prescott, AZ
NPI number
1255721684
Active
Practice location
807 Lizzard Ln
Prescott, AZ 86303-4517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 11388927 (CA) |
Specialist: 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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About NPI 1255721684
Ronald Lake Ii, C.HT.'s National Provider Identifier is 1255721684, issued on Jan 22, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prescott, AZ. The record was last updated on Jan 22, 2015.