Individual
MICHELLE DUPRE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6550
(803) 785-6556
Mailing address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6550
(803) 785-6556
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0062323
SC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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