LAURIE ANN LAKE (NPI# 1881980035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881980035 |
| Entity Type | Individual |
| Full Name | LAURIE ANN LAKE |
| Credential | LMT |
| Practice Address |
1600 Springdale St Longview TX 75604-2635 |
| Practice Telephone | 9037575364 |
| Mailing Telephone | 9037575364 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT004607 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 SPRINGDALE ST |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520002 | Raevyn N Reichle | Massage Therapist | 208 N Fredonia St, Longview, TX 75601-7209 | 2019-10-19 |
| 1023581063 | Krista Pohl | Massage Therapist | 1324 Vandercook Way, Longview, WA 98632-3902 | 2019-01-02 |
| 1326514126 | Margaret Jan Duszik | Massage Therapist | 915 W Loop 281 Ste 107-12, Longview, TX 75604-2935 | 2018-10-18 |
| 1639618655 | Codreaming LLC | Massage Therapist | 414 E Loop 281 Ste 20, Longview, TX 75605-7931 | 2017-02-23 |
| 1962828392 | Charles Seamus Crane | Massage Therapist | 1157 3rd Ave Ste 145, Longview, WA 98632-6004 | 2014-03-10 |
| 1730500745 | Shawn Shumway | Massage Therapist | 803 Vandercook Way Ste 12, Longview, WA 98632-4039 | 2013-12-17 |
| 1396007886 | Stephanie N Scott | Massage Therapist | 513 Ruthlynn Dr, Longview, TX 75605-3725 | 2012-06-12 |
| 1346529278 | John Howard Helaire | Massage Therapist | 804 Coleman Dr, Longview, TX 75605-3106 | 2011-08-09 |
| 1952602914 | Jennifer R Wilson | Massage Therapist | 3394 N Us Highway 259, Longview, TX 75605-5086 | 2010-11-08 |
| 1033420773 | Jessica Kathleen Lynds | Massage Therapist | 213 Mcadams Rd E, Longview, WA 98632-9714 | 2010-06-28 |
| Find all providers in LONGVIEW | ||||
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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.