Individual
DR. REBECCA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS, RD, LD
Contact information
Practice address
210 N SUNSET DR, PLEASANTVILLE, IA 50225-9710
(515) 200-6025
Mailing address
210 N SUNSET DR, PLEASANTVILLE, IA 50225-9710
(515) 200-6025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
109802
IA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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