MATTHEW RYAN LAKE

TIFFIN, OH
NPI1104623321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-02-26
Last Update Date2025-02-26
Business Address
MATTHEW RYAN LAKE
76 ASHWOOD DR
TIFFIN, OH 44883-1908
Phone number: 419-448-9440
Mailing Address
MATTHEW RYAN LAKE
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
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