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Individual
KAYSE LEE LAKE
Active
Individual
KAYSE LEE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5063880-0501
UT
213E00000X
Podiatrist
Primary
POD.0000710
CO
213E00000X
Podiatrist
POD348
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
348
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003558
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
5063880-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
710
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07501552
—
CO
Enumeration date
04/28/2009
Last updated
02/19/2026
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