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1386686673
JEAN L LAKE
LONG BEACH, CA
NPI
1386686673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA g444387)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
-- JEAN L LAKE m.d.
2880 ATLANTIC AVE 260
LONG BEACH, CA 90806-1714
Phone number: 562-490-3580
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Mailing Address
-- JEAN L LAKE m.d.
2880 ATLANTIC AVE 260
LONG BEACH, CA 90806-1714
Phone number: 562-490-3580
Copy
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