Search › West Virginia › 156FX1800X
Rebecca Lake
NPI 1972690311 · on the registry since 2006 · sole proprietor
Practice
- Address
- 612 Rosebud Plz
Clarksburg, WV 26301 - Phone
- (304) 622-1251
- Fax
- (304) 622-2352
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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 West Virginia