National Provider Identifier

Rebecca Deboard-Lake

Rebecca Deboard-Lake is listed in the NPPES registry with a primary specialty of Peer Specialist in Batavia, NY and a listed phone number of (585) 344-0134.

NPI 1972145639Batavia, NYPeer Specialist

Profile Overview

NPI
1972145639
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
October 15, 2019
Last Updated
October 15, 2019

Practice Location

  • 50 Batavia City Ctr
  • Batavia, NY 14020-2107

Phone: (585) 344-0134

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1972145639
Entity Type
Individual
Last Name
Deboard-Lake
First Name
Rebecca
Mailing Street Address
50 Batavia City Ctr
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-2107
Mailing Country
US
Practice Street Address
50 Batavia City Ctr
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-2107
Practice Country
US
Practice Phone
(585) 344-0134
Enumeration Date
October 15, 2019
Last Updated
October 15, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)