STEPHANIE LOUISE LAKE

OMAHA, NE
NPI1124064803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NE  6558)
Enumeration Date2006-06-21
Last Update Date2023-06-16
Business Address
Dr. STEPHANIE LOUISE LAKE D.D.S.
17110 LAKESIDE HILLS PLZ
OMAHA, NE 68130-5600
Phone number: 402-718-8737
Mailing Address
Dr. STEPHANIE LOUISE LAKE D.D.S.
2612 N 179TH ST
OMAHA, NE 68116-2267
Phone number: 492-733-1325