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Individual

DR. LEENA KULKARNI LAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 DAWSON COMMONS CIR STE 220, DAWSONVILLE, GA 30534-6265
(770) 848-7246
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
072385
GA
208VP0000X
Pain Medicine Physician
72385
GA

Other

Enumeration date
06/15/2009
Last updated
10/06/2020
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