Individual
ANGELA W. LAKES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
803 MEYERS BAKER RD, STE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-4308
Mailing address
803 MEYERS BAKER RD, STE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-4308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003323
—
KY
Enumeration date
06/11/2006
Last updated
07/08/2007
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