Search › Oklahoma › 171M00000X
Amanda Lake
NPI 1760985147 · on the registry since 2018
Practice
- Address
- 1300 Summers Pl
Ponca City, OK 74604 - Phone
- (580) 762-4156
- Organisation at this address
- Soaring Heights Mental Health, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2018-03-13
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