NPI 1265098511

Amy Jean Lake

Practitioner Intermediate Emergency Medical Technician Winnemucca, NV

Practice location

Address: 118 E Haskell St, Winnemucca, NV 89445-3247
Phone: (775) 623-5222

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 76256 (NV)

Other Emergency Medical Technician, Intermediate providers in Nevada →

Registry record

NPI: 1265098511
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2019
Record last updated: 13 May 2019

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.