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Individual

JANA LAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 CREEKHAVEN DR, ANGIER, NC 27501-5058
(919) 649-6348
Mailing address
150 CREEKHAVEN DR, ANGIER, NC 27501-5058

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167858
NC

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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