Individual
LISA RAMSLAND LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4517 CALLIE DOWNS DRIVE, GAINESVILLE, GA 30506-5126
(678) 943-5130
(770) 783-6599
Mailing address
4517 CALLIE DOWNS DR, GAINESVILLE, GA 30506-5126
(678) 943-5130
(770) 783-6599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419667629A
—
GA
05
—
419667629B
—
GA
05
—
419667629C
—
GA
05
—
419667629D
—
GA
Enumeration date
12/10/2007
Last updated
01/24/2011
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