LESLIE ANN LAKE

BERLIN, MD
NPI1134877525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R155906)
Enumeration Date2022-03-15
Last Update Date2022-03-15
Business Address
Mrs. LESLIE ANN LAKE FNP-BC
9858 SHORE BREAK LN APT 311
BERLIN, MD 21811-3028
Phone number: 912-689-9322
Mailing Address
Mrs. LESLIE ANN LAKE FNP-BC
9858 SHORE BREAK LN APT 311
BERLIN, MD 21811-3028
Phone number: 912-689-9322