KAYSE LEE LAKE

DURANGO, CO
NPI1366686800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CO  710)
Additional Taxonomies213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NM  348)
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OH  36.003558)
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: UT  5063880-0501)
Enumeration Date2009-04-28
Last Update Date2021-09-10
Business Address
KAYSE LEE LAKE DPM
1266 ESCALANTE DR SUITE 201
DURANGO, CO 81303
Phone number: 970-253-5303
Mailing Address
KAYSE LEE LAKE DPM
1266 ESCALANTE DR SUITE 201
DURANGO, CO 81303
Phone number: 970-259-5303