Kyle Preston Lake

Pharmacist · Denison, TX

Individual Active NPI

NPI number 1548860737

Practice location

401 N Us Highway 75
Denison, TX 75020-1595
Phone
(903) 465-8035
Fax
(903) 465-0590

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NPI record

NPI
1548860737
Entity type
Individual (Type 1)
Enumeration date
October 28, 2020
Last updated
October 29, 2020
Certified
October 29, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 45011 TX

About Kyle Lake

Kyle Preston Lake is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 401 N Us Highway 75, Denison, TX 75020-1595. The NPI number 1548860737 was assigned on October 28, 2020 and the record was last updated on October 29, 2020.

Kyle Lake lists a license in the registry: #45011 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Preston Lake?

The NPI number is 1548860737.

What is the phone number of Kyle Lake?

The phone number listed for the practice location is (903) 465-8035.

Where is Kyle Lake located?

401 N Us Highway 75, Denison, TX 75020-1595.

What is the taxonomy code for Kyle Lake?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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