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

Ross Lake, ROSSLAKE

Individual provider Acupuncturist · NPI 1639247034

Ross Lake, ROSSLAKE is an Acupuncturist in Ukiah, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

311 Luce Ave
Ukiah, CA 95482-5667
Phone: (707) 462-4448
Fax: (707) 595-5565
Show map & directions

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

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC2909 (CA)

Record details

NPI number1639247034
Entity typeIndividual (Type 1)
GenderMale
Credentials ROSSLAKE
Sole proprietorYes
NPI enumeratedDecember 1, 2006
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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