IndividualActive
Alyson Lake, AU-D
NPI 1669873931 · Audiologist · Forest, VA
Provider details
- NPI number
- 1669873931
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AU-D
- Sex
- Female
- Sole proprietor
- No
- License
- 2101002089 (VA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Practice location
15243 Forest Rd Ste D
Forest, VA 24551-4974
Phone: (434) 266-9898
Fax: (434) 266-9848
Approximate (ZIP-level) locationGet directions
Mailing address
15243 Forest Rd Ste D
Forest, VA 24551-4974
Registry dates
- Enumerated
- 2014-09-05
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.