IndividualActive
Randy Lake
NPI 1124459797 · Non-emergency Medical Transport (VAN) · Edmond, OK
Provider details
- NPI number
- 1124459797
- Entity type
- Individual
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
13965 Mossy Stone Way
Edmond, OK 73025-5024
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.