VALERIE E LAKE

FORT WAYNE, IN
NPI1114048121
Professional NameVALERIE E LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010452A)
Enumeration Date2007-04-03
Last Update Date2021-11-08
Business Address
Dr. VALERIE E LAKE D.D.S.
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579
Mailing Address
Dr. VALERIE E LAKE D.D.S.
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579