Individual
MRS. ASHLEE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
496 WILLRICH DR, NEWARK, OH 43055-1523
(740) 334-9805
Mailing address
496 WILLRICH DR, NEWARK, OH 43055-1523
(740) 334-9805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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