Valerie E Lake in Fort Wayne - General Practice
Valerie E Lake - NPI 1114048121
Valerie E Lake is a General Practice in Fort Wayne, Indiana. Valerie E Lake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Valerie E Lake is 1114048121. The last update date is 2021-11-08.
Valerie E Lake's current location address is 6211 Covington Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604321579 and fax number 2604324540. The mailing address for Valerie E Lake is 6211 Covington Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Valerie E Lake |
|---|---|
| Address | 6211 Covington Rd, Fort Wayne, Indiana |
| Phone Number | 2604321579 |
| Fax Number | 2604324540 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114048121 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
| Address | 6211 Covington Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047311 |
| Phone Number | 2604321579 |
| Fax Number | 2604324540 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010452A |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Valerie E Lake by the Centers for Medicare & Medicaid Services?
The Valerie E Lake has been issued the NPI (National Provider Identifier) 1114048121. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Valerie E Lake is located?
The Valerie E Lake is situated at the following address: 6211 Covington Rd, Fort Wayne, IN, 468047311.
What is Valerie E Lake's area of expertise and its corresponding taxonomy classification?
The Valerie E Lake's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did the Valerie E Lake receive its 1114048121?
The Valerie E Lake was issued its 1114048121 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
When was the information related to Valerie E Lake most recently updated or refreshed?
The details pertaining to the Valerie E Lake, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-08.
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