Individual provider · Type 1 NPI

Amaysia Lake

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1730084807 Active

Practice location

300 Lenora St # 1348
Seattle, WA 98121-2411

Call (773) 900-7837 Map

Mailing address

12672 Hayes Clan Rd
Riverview, FL 33579-6811

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730084807

Amaysia Lake's National Provider Identifier is 1730084807, issued on Oct 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Oct 9, 2026.