Individual
MICHELE LOUISE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
140 PINE GROVE CMNS, YORK, PA 17403-5151
(717) 851-5590
(717) 851-5957
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-5590
(717) 851-5957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001850
PA
Other
Enumeration date
09/21/2010
Last updated
08/05/2021
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