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 Date2016-02-18
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
3541 159TH STREET
WEVER, IA 52658
Phone number: 319-470-3406
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