DANIELLE DENISE LAKE

SAINT LOUIS, MO
NPI1396394714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  2017037426)
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
Ms. DANIELLE DENISE LAKE LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Mailing Address
Ms. DANIELLE DENISE LAKE LPN
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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