Individual
CLEOPATRA SANDRA LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
887 GREYTON RD, CLEVELAND HTS, OH 44112-2340
(216) 659-5478
(888) 822-0695
Mailing address
887 GREYTON RD, CLEVELAND HTS, OH 44112-2340
(216) 659-5478
(888) 822-0695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
320225
OH
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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