NPI 1124459797
Randy Len Lake
Practice location
- Address
- 13965 Mossy Stone Way, Edmond, OK 73025-5024
- Phone
- (405) 204-3389
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1124459797
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Dec 2013
- Record last updated
- 18 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.