Individual
KAREN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNC, NP
Contact information
Practice address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 543-2430
Mailing address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 543-2430
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704127002
MI
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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