Individual
DR. REBECCA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2517 EAST ST, DAVENPORT, IA 52803-3420
(309) 644-0153
Mailing address
2517 EAST ST, DAVENPORT, IA 52803-3420
(309) 644-0153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
083854
IA
Other
Enumeration date
01/05/2017
Last updated
07/26/2024
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