MATTHEW RYAN LAKE

ZANESVILLE, OH
NPI1104623321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-02-26
Last Update Date2026-07-08
Business Address
MATTHEW RYAN LAKE
947 ADAIR AVE
ZANESVILLE, OH 43701-2841
Phone number: 614-726-7359
Mailing Address
MATTHEW RYAN LAKE
947 ADAIR AVE
ZANESVILLE, OH 43701-2841
Phone number: 614-726-7359