Individual
JULIA CAROLINE WINGATE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPT OF INTERNAL MEDICINE, LEBANON, NH 03756
(603) 653-9500
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OF INTERNAL MEDICINE, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20155
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2015
Last updated
12/25/2019
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