ELIZABETH JO LAKE

MARION, IN
NPI1447999230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28124712A)
Enumeration Date2022-06-01
Last Update Date2022-06-01
Business Address
ELIZABETH JO LAKE
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-3321
Mailing Address
ELIZABETH JO LAKE
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-3321
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