SearchOklahoma343900000X

Randy Lake

NPI 1124459797 · on the registry since 2013 · sole proprietor

Practice

Address
13965 Mossy Stone Way
Edmond, OK 73025
Phone
(405) 204-3389

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Male
Record last updated
2025-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma