EDWARD LAKE

OSHKOSH, WI
NPI1336131101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: WI  29465)
Enumeration Date2005-08-18
Last Update Date2023-10-31
Business Address
EDWARD LAKE MD
855 N WESTHAVEN DR
OSHKOSH, WI 54904-7668
Phone number: 920-303-5626
Mailing Address
EDWARD LAKE MD
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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