KENNETH B LAKE

DELTA, CO
NPI1003964024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  APN.0997653-CRNA)
Enumeration Date2007-01-08
Last Update Date2026-06-05
Business Address
KENNETH B LAKE CRNA
1501 E 3RD ST
DELTA, CO 81416-2815
Phone number: 970-874-7681
Mailing Address
KENNETH B LAKE CRNA
PO BOX 10100
DELTA, CO 81416-0008
Phone number: 970-874-7681
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