Individual
ELAINE M LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
6650 W 110TH ST STE 330, OVERLAND PARK, KS 66211-1501
(913) 521-9090
(913) 521-9955
Mailing address
6650 W 110TH ST STE 330, OVERLAND PARK, KS 66211-1501
(913) 521-9090
(913) 521-9955
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2014031706
MO
231H00000X
Audiologist
Primary
2268
KS
237700000X
Hearing Instrument Specialist
1639
KS
Other
Enumeration date
05/31/2013
Last updated
02/23/2022
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