Individual
SARAH NICOLE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 N ROCKWELL AVE APT E, OKLAHOMA CITY, OK 73127-3356
(405) 235-5671
Mailing address
1405 N ROCKWELL AVE APT E, OKLAHOMA CITY, OK 73127-3356
(405) 235-5671
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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