Individual
EMILY STICE LAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 THOREAU RD, LAKEWOOD, OH 44107-2844
(808) 388-1730
Mailing address
1234 THOREAU RD, LAKEWOOD, OH 44107-2844
(808) 388-1730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP.0032413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP.0032413
OSBN
OH
Enumeration date
11/07/2022
Last updated
11/07/2022
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