Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dalance Ravonce Lakes

Individual provider Rehabilitation Practitioner · NPI 1275606733

Mr. Dalance Ravonce Lakes is a Rehabilitation Practitioner in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1224 Vine St
Los Angeles, CA 90038-1612
Phone: (323) 769-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1275606733
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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