MR. RONALD LAKE II (NPI# 1255721684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255721684 |
| Entity Type | Individual |
| Full Name | MR. RONALD LAKE II |
| Credential | C.HT. |
| Practice Address |
807 Lizzard Ln Prescott AZ 86303-4517 |
| Practice Telephone | 8005419928 |
| Mailing Telephone | 8005419928 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11388927 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487959698 | Ronald Lake | Social Worker | 215 N 1st Ave E, Duluth, MN 55802-2058 | 2011-01-19 |
| Street Address |
807 LIZZARD LN |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962808220 | Karie Mangiardi-hammond | Specialist | 3160 Stillwater Dr, Prescott, AZ 86305-7151 | 2014-11-14 |
| 1649610999 | Cheryl A Rynd | Specialist | 1745 Rustic Timbers Ln, Suite D, Prescott, AZ 86303-4966 | 2013-07-01 |
| 1629416755 | Irene A. Hsieh | Specialist | 1820 Sequoia Dr, Prescott, AZ 86301-1245 | 2013-06-11 |
| 1235416918 | Gregg P Standage Md | Specialist | 705 W Hillside Ave, Prescott, AZ 86301-1938 | 2011-11-09 |
| 1467694901 | Kim Suzanne Plawchan | Specialist | 522 E. Sheldon St, Prescott, AZ 86301 | 2009-03-30 |
| 1699920207 | Mark Edwin Carli | Specialist | 3108 Clearwater Dr Ste B2, Prescott, AZ 86305-7170 | 2008-11-24 |
| 1922270438 | Karen L Yates Md PC | Specialist | 141 S Mccormick St Ste 108, Prescott, AZ 86303-4730 | 2008-03-25 |
| 1982880142 | Kathleen F Parker | Specialist | 4864 E Diamond Dr, Prescott, AZ 86301-5944 | 2008-01-17 |
| 1548469372 | Ben Eugene Paxton | Specialist | 1000 Ainsworth # 115, Prescott, AZ 86305 | 2007-07-12 |
| 1194949867 | Stuart David Weston | Specialist | 5880 Coriander, Prescott, AZ 86305-3863 | 2007-04-12 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.