Individual
KORINNA LAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W HIGH ST STE 390, LIMA, OH 45801-3988
(419) 227-7117
(419) 227-2848
Mailing address
830 W HIGH ST STE 390, LIMA, OH 45801-3988
(419) 227-7117
(419) 227-2848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008802RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
RN
OH
Other
Enumeration date
10/26/2023
Last updated
06/25/2024
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