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Alyssa Lake

NPI 1235471673 · on the registry since 2013

Practice

Address
1720 N Spruce St
Ogallala, NE 69153
Phone
(308) 284-4068
Organisation at this address
Kismet Oga, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-25

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 Nebraska