Individual
MRS. ELIZABETH MAXWELL LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
700 E 43RD ST, AUSTIN, TX 78751-3913
(936) 524-7008
Mailing address
700 E 43RD ST, AUSTIN, TX 78751-3913
(936) 524-7008
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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