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Individual

MEGAN LEE LAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1422 FLAMMANG DR, WATERLOO, IA 50702-4368
(319) 234-1774
Mailing address
135 HARVEY DR, WATERLOO, IA 50701-2313
(712) 301-4467

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24471
IA

Other

Enumeration date
07/07/2022
Last updated
07/07/2022
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