Individual
MRS. ALYSON BUTLER LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU-D
Contact information
Practice address
15243 FOREST RD STE D, FOREST, VA 24551-4974
(434) 266-9898
(434) 266-9848
Mailing address
15243 FOREST RD STE D, FOREST, VA 24551-4974
(434) 266-9898
(434) 266-9848
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001518
VA
237600000X
Audiologist-Hearing Aid Fitter
2101002089
VA
Other
Enumeration date
09/05/2014
Last updated
12/05/2024
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