CHARLES R LAKE

KANSAS CITY, KS
NPI1477632982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  04-24437)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Dr. CHARLES R LAKE md,phd
3901RAINBOW BLVD 4070 DELP
KANSAS CITY, KS 66160
Phone number: 913-588-1325
Mailing Address
Dr. CHARLES R LAKE md,phd
3901RAINBOW BLVD 4070 DELP
KANSAS CITY, KS 66160
Phone number: 913-588-1325