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1124064803
STEPHANIE LOUISE LAKE
OMAHA, NE
NPI
1124064803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 6558)
Enumeration Date
2006-06-21
Last Update Date
2023-06-16
Business Address
Dr. STEPHANIE LOUISE LAKE D.D.S.
17110 LAKESIDE HILLS PLZ
OMAHA, NE 68130-5600
Phone number: 402-718-8737
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Mailing Address
Dr. STEPHANIE LOUISE LAKE D.D.S.
2612 N 179TH ST
OMAHA, NE 68116-2267
Phone number: 492-733-1325
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