SearchWashington101YM0800X

Richard Lake, M.S., LMHC

NPI 1699829168 · on the registry since 2007 · sole proprietor

Practice

Address
10116 116th St E
Suite 202
Puyallup, WA 98373
Phone
(253) 904-8592
Fax
(253) 904-8592
Organisation at this address
Dpmleonheartprwa Llc
Franciscan Medical Group
Lakes Family Medicine, Ps
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Washington