Provider Demographics
NPI:1902124894
Name:LAKEW, YAMROTE (RPH RN)
Entity type:Individual
Prefix:MRS
First Name:YAMROTE
Middle Name:
Last Name:LAKEW
Suffix:
Gender:F
Credentials:RPH RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 BRYN MAWR DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8915
Mailing Address - Country:US
Mailing Address - Phone:614-598-3001
Mailing Address - Fax:740-879-3240
Practice Address - Street 1:3724 NORTHPOINTE DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1768
Practice Address - Country:US
Practice Address - Phone:740-452-6869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03225040-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist