SUSAN LAKE

WARRENSBURG, MO
NPI1285687210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152WV0400X Optometrist, Vision Therapy
(Licence: MO  T03457)
Enumeration Date2006-05-19
Last Update Date2008-06-18
Business Address
Dr. SUSAN LAKE O.D.
601 E RUSSELL AVE SUITE A
WARRENSBURG, MO 64093-9605
Phone number: 660-747-2020
Mailing Address
Dr. SUSAN LAKE O.D.
601 E RUSSELL AVE SUITE A
WARRENSBURG, MO 64093-9605
Phone number: 660-747-2020
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