Individual
MATTHEW E LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2832 PATTON HILL RD, CHILLICOTHE, OH 45601-3720
(740) 466-4970
Mailing address
2832 PATTON HILL RD, CHILLICOTHE, OH 45601-3720
(740) 466-4970
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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