DAVID R LAKE

FRANKLIN, WI
NPI1003113820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2011-02-14
Last Update Date2015-01-26
Business Address
-- DAVID R LAKE ATC
8917 S 77TH ST
FRANKLIN, WI 53132-9784
Phone number: 414-698-3730
Mailing Address
-- DAVID R LAKE ATC
8917 S 77TH ST
FRANKLIN, WI 53132-9784
Phone number: 414-698-3730
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