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DR. RANDOLPH LEWIS LAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3200 NE SUNSET BLVD, RENTON, WA 98056-3335
(425) 228-2555
(425) 228-0220
Mailing address
3200 NE SUNSET BLVD, RENTON, WA 98056-3335
(425) 228-2555
(425) 228-0220

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005282
WA

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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