| NPI | 1427687011 |
|---|---|
| Doing Business As | DR. MONICA LAKE, PLLC |
| Entity Type | Organization |
| Authorized Contact | MONICA LAKE Owner 813-444-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |