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1093121188
MITCHELL LAKS
CHICAGO, IL
NPI
1093121188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246QL0901X Spec/Tech, Pathology, Laboratory Management, Diplomate
Enumeration Date
2014-07-09
Last Update Date
2014-07-09
Business Address
-- MITCHELL LAKS
2250 W CAMPBELL PARK DR
CHICAGO, IL 60612-3502
Phone number: 312-243-0600
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Mailing Address
-- MITCHELL LAKS
PO BOX 2240
BURLINGTON, NC 27216-2240
Phone number:
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