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General NPI Number Information
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NPI Number | 1104649045
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Entity Type | Individual
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Provider Name | VALERIE SUZANNE LAKES APRN
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 5244 CIDER MILL RD
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City | ERIE
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State | PA
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Zip | 16509-3961
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Country | US
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Telephone | 513-417-3735
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0038675
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN722352
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.451838
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 858583-01
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN-110156-0
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License Number State | HI
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