Shane Michael Lake

  • NPI 1588135008
According to our database, the NPI number for Shane Michael Lake is 1588135008 and activated since 5 years ago. Shane Michael Lake is an individual provider who specializes in Community Health Worker, and the primary practice location is 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559. You can also contact Shane Michael Lake via telephone number is (907) 543-6100. Provider NPI information was last updated on 12/10/2018.

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Overview of Shane Michael Lake

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/10/2018
  • Last updated: 12/10/2018

Primary Scrop of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 528
    Bethel, AK 99559
  • Phone: 907-543-6552
  • Fax: 907-543-6159

Provider Practice Location

  • Address: 829 Chief Eddie Hoffman Hwy
    Bethel, AK 99559
  • Phone: 907-543-6100
  • Fax:

Scope of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1020986
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shane Michael Lake?
  • A: The npi number for Shane Michael Lake is 1588135008.
  • Q: What are Shane Michael Lake's specialties?
  • A: Shane Michael Lake's specialties are Community Health Worker and different specialities.
  • Q: What is the medical license for Shane Michael Lake?
  • A: The medical license number for Shane Michael Lake is unknow and issued in unknow in USA.
  • Q: Where is Shane Michael Lake practice location?
  • A: Shane Michael Lake is practicing at 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559.
  • Q: How to contact Shane Michael Lake?
  • A: You can contact Shane Michael Lake via 907-543-6100.