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Individual

JENNIFER R. LAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERTIFIED NURSE MIDW

Contact information

Practice address
12605 E 16TH AVE, UNIVERSITY OF COLORADO, AURORA, CO 80045-2545
(720) 848-1700
(720) 848-1844
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN.0991012-CNM
CO

Other

Enumeration date
06/12/2009
Last updated
02/16/2016
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