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Jeffrey Lake
NPI 1316432115 · on the registry since 2018
Practice
- Address
- 405 E Excelsior Ave
Vinita, OK 74301 - Phone
- (918) 256-6476
- Fax
- (918) 256-3628
- Organisation at this address
- Odmhsas
Grand Mental Health
Grand Lake Mental Health Center Inc.
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 250
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Sex
- Male
- Record last updated
- 2018-07-30
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