Individual
DR. TONYA LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 ABBOT RD STE 400, EAST LANSING, MI 48823-1900
(517) 882-3732
(517) 882-3633
Mailing address
1400 ABBOT RD STE 400, EAST LANSING, MI 48823-1900
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704226641
MI
Other
Enumeration date
10/29/2014
Last updated
11/04/2024
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