Individual
SUSAN D LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
281 SAWYER DR, SUITE 100, DURANGO, CO 81303-3409
(970) 385-3491
Mailing address
281 SAWYER DR, SUITE 100, DURANGO, CO 81303-3409
(970) 385-3491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71463
CO
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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