Individual
ALVIN E. LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3120 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-6000
(734) 677-2422
Mailing address
3120 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-6000
(734) 677-2422
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002665
MI
Other
Enumeration date
10/02/2006
Last updated
09/08/2008
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