Individual
SHELBY LAUREN REGISTER-LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
(336) 694-9331
Mailing address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101272205
VA
2084P0800X
Psychiatry Physician
Primary
2019-00348
NC
Other
Enumeration date
05/01/2017
Last updated
01/05/2023
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