Individual
MRS. MARVEE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
601 BROADWAY, SCOTTSBLUFF, NE 69361-3517
(308) 635-1444
Mailing address
601 BROADWAY, SCOTTSBLUFF, NE 69361-3517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11837
NE
Other
Enumeration date
11/20/2010
Last updated
11/20/2010
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