JENNIFER A LAKE

WHITE BEAR LAKE, MN
NPI1245205301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  44657)
Enumeration Date2006-02-22
Last Update Date2015-12-08
Business Address
-- JENNIFER A LAKE MD
4422 WHITE BEAR AVE N
WHITE BEAR LAKE, MN 55110-3475
Phone number: 651-287-8780
Mailing Address
-- JENNIFER A LAKE MD
4422 WHITE BEAR AVE N
WHITE BEAR LAKE, MN 55110-3475
Phone number: 651-287-8780
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