Individual
HILARY JOHNE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 N US HIGHWAY 31, PETOSKEY, MI 49770-9303
(248) 410-0798
Mailing address
1053 N US HIGHWAY 31, PETOSKEY, MI 49770-9303
(248) 410-0798
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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