Lake Management Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE MANAGEMENT GROUP

Practice address

127 Augusta Dr
Wimberley, TX 78676-2515

Phone

(210) 831-4131

NPI assigned

Jan 30, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Escobar Dover

Title

President

Phone

(210) 831-4131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264809600000",
    "number": "1639401771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AUGUSTA DR",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762515",
            "telephone_number": "210-831-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 AUGUSTA DR",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762515",
            "telephone_number": "210-831-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-01-30",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ESCOBAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-831-4131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Kaven, COTA
• Jennifer Kenley, LPC-S, NCC
• Kenneth B. Hudspeth M.D.
• Brenda Koser
• Anna Kunkel, OTR, MOT
• Emilee Leal
• Carrie Lee
• Dawn Leisch
• Vanessa Rochelle Lesh, OTR
• Adi Levy, LMFT

• Durable Medical Equipment & Medical Supplies in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; 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.