Individual
DR. HERBERT VINCENT LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1052 E INDIAN SCHOOL RD, PHOENIX, AZ 85014-4810
(602) 279-0090
(602) 279-6985
Mailing address
1442 E PARKVIEW DR, GILBERT, AZ 85295-6199
(602) 692-5116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5852
AZ
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
04/16/2018
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