LAURA E LAKE

BELLEVILLE, IL
NPI1124146949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242-000175)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- LAURA E LAKE Speech Therapist
2810 FRANK SCOTT PKWY W STE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
Mailing Address
-- LAURA E LAKE Speech Therapist
2810 FRANK SCOTT PKWY W STE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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