Individual
MRS. JIMMA LANELLE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
112 VINTAGE DR, WAXAHACHIE, TX 75165-6510
(214) 632-9075
(972) 923-0493
Mailing address
PO BOX 81, RICHLAND, TX 76681-0081
(903) 362-4012
(903) 362-4012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012555
TX
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us