Individual
MS. DARLENE M LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MED, CRC
Contact information
Practice address
1125 PARKSIDE DR, WILMINGTON, DE 19803-5213
(302) 658-3336
(302) 658-3335
Mailing address
1125 PARKSIDE DR, WILMINGTON, DE 19803-5213
(302) 658-3336
(302) 658-3335
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
L1-0028869
DE
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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