RANDY LAKE

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1124459797

Practice Address

13965 MOSSY STONE WAY
Edmond, OK 73025

Phone: (405) 204-3389

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes -

Frequently Asked Questions

NPI 1124459797 is the National Provider Identifier for RANDY LAKE, a Non-emergency Medical Transport (VAN) provider located in Edmond, OK. This NPI was enumerated on December 9, 2013.
RANDY LAKE practices at 13965 MOSSY STONE WAY, Edmond, OK 73025.

Quick Facts

NPI
1124459797
Type
Individual
Enumerated
Dec 9, 2013
Last Updated
Jun 18, 2025

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