RICHARD B LAKE

WINTER HAVEN, FL
NPI1255338513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OP1036)
Enumeration Date2005-07-01
Last Update Date2007-08-21
Business Address
Dr. RICHARD B LAKE O.D.
6027 CYPRESS GARDENS BLVD
WINTER HAVEN, FL 33884-4115
Phone number: 863-326-5824
Mailing Address
Dr. RICHARD B LAKE O.D.
685 SHANKLIN AVE
BARTOW, FL 33830-4335
Phone number: 863-533-1363
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