Provider Demographics
NPI:1538596408
Name:WEIGH BETTER WEIGHT LOSS & NON URGENT FAMILY CARE
Entity type:Organization
Organization Name:WEIGH BETTER WEIGHT LOSS & NON URGENT FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:LAKE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-353-2098
Mailing Address - Street 1:131 JOLLY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-9748
Mailing Address - Country:US
Mailing Address - Phone:859-314-7052
Mailing Address - Fax:877-581-9662
Practice Address - Street 1:128 S KEENELAND DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3280
Practice Address - Country:US
Practice Address - Phone:859-623-0400
Practice Address - Fax:877-581-9662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3005852363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty