Ross Lake, ROSS LAKE is a
Acupuncturist based in Willits, California. Ross Lake is licensed to practice in California (license number AC2909) and his current practice location is
236 S Humboldt St, Willits, California. He can be reached at his office (for appointments etc.) via phone at
(707) 459-2488.
NPI number for Ross Lake is 1639247034 and his current mailing address is 236 S Humboldt St, Willits, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639247034.
Healthcare Provider's Profile
Full Name | Ross Lake |
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Gender | Male |
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Speciality | Acupuncturist |
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Location | 236 S Humboldt St, Willits, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639247034
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ross Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639247034 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC2909 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ross Lake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ross Lake, ROSS LAKE 236 S Humboldt St, Willits, CA 95490-3514 Ph: (707) 459-2488 | Ross Lake, ROSS LAKE 236 S Humboldt St, Willits, CA 95490-3514 Ph: (707) 459-2488 |
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