Valerie Lake, MS

Primary specialty

SpecialistTaxonomy code 174400000X

License

C1040 Issued in OR

Practice address

744 NW 4TH St
Corvallis, OR 97330-6415

Phone

(541) 753-9792

Fax

(541) 753-9792

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Valerie Lake Ms LPC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407068539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-753-9792",
            "fax_number": "541-753-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 NW 4TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306415",
            "telephone_number": "541-753-9792",
            "fax_number": "541-753-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "VALERIE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "C1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "LAKE MS LPC",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard A Lafrance, M.D.
• Sariah Joy Lagges, DO
• April Lague
• Richard Eugene Lague, PT
• Ethan James Laing
• Naomi Shan Tung Lam, DO
• Chad Randall Lamer, D.C.
• Jhenna Marie Lance
• Rebekah Lancelin, LPC
• Janet Leah Landauer, M.D.

• Specialist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.