Individual
NATALIE JANE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M., L.M.
Contact information
Practice address
1711 BAUERLE AVE, AUSTIN, TX 78704-3303
(512) 444-0617
(512) 444-9981
Mailing address
1711 BAUERLE AVE, AUSTIN, TX 78704-3303
(512) 444-0617
(512) 444-9981
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
01007
TX
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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