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Individual

ERIN LYNN LAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3900 SUNFOREST CT STE 215, TOLEDO, OH 43623
(419) 473-6670
Mailing address
3900 SUNFOREST CT STE 215, TOLEDO, OH 43623-4440
(419) 473-6670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CPN.022202
OH
363LF0000X
Family Nurse Practitioner
CNP 4623
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477008092
MN
Enumeration date
08/24/2016
Last updated
06/13/2018
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