GEORGE BLAINE LAKE

VISALIA, CA
NPI1194777136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  g86776)
Enumeration Date2006-05-17
Last Update Date2013-09-27
Business Address
-- GEORGE BLAINE LAKE M.D.
100 WILLOW PLZ 201
VISALIA, CA 93291-6206
Phone number: 559-627-9284
Mailing Address
-- GEORGE BLAINE LAKE M.D.
100 WILLOW PLZ 201
VISALIA, CA 93291-6206
Phone number: 559-627-9284
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