Individual
MS. JANET L LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5811 MESA DR, #821, AUSTIN, TX 78731-3780
(512) 947-2300
Mailing address
5811 MESA DR, #821, AUSTIN, TX 78731-3780
(512) 947-2300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81812
TX
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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