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1477632982
CHARLES R LAKE
KANSAS CITY, KS
NPI
1477632982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 04-24437)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Dr. CHARLES R LAKE md,phd
3901RAINBOW BLVD 4070 DELP
KANSAS CITY, KS 66160
Phone number: 913-588-1325
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Mailing Address
Dr. CHARLES R LAKE md,phd
3901RAINBOW BLVD 4070 DELP
KANSAS CITY, KS 66160
Phone number: 913-588-1325
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