STEPHANIE ANN LAKE

DAYTON, OH
NPI1255865952
Former NameSTEPHANIE A WEBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OH  34.013785)
Enumeration Date2017-04-19
Last Update Date2023-12-22
Business Address
STEPHANIE ANN LAKE DO
1816 HARVARD BLVD
DAYTON, OH 45406-4543
Phone number: 937-641-4000
Mailing Address
STEPHANIE ANN LAKE DO
PO BOX 933432
CLEVELAND, OH 44193-0039
Phone number: 937-641-3000
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