Individual
MELISSA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 W CUMMINGS PARK STE 1200, WOBURN, MA 01801-6587
(781) 927-7246
(781) 305-4683
Mailing address
900 CUMMINGS CTR STE 221U, BEVERLY, MA 01915-6183
(978) 927-7246
(978) 927-7249
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6641
MA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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