LISA ANN LAKE

WEST BURLINGTON, IA
NPI1013398023
Former NameLISA THORNBURG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A120202)
Enumeration Date2015-06-16
Last Update Date2025-08-20
Business Address
LISA ANN LAKE DNP
1225 S GEAR AVE SUITE 159
WEST BURLINGTON, IA 52655-1691
Phone number: 319-768-1570
Mailing Address
LISA ANN LAKE DNP
1225 S GEAR AVE STE 159
WEST BURLINGTON, IA 52655-1686
Phone number: