SHARON G. LAKE

SOUTH CHARLESTON, WV
NPI1487033007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  64723)
Enumeration Date2015-05-28
Last Update Date2015-05-28
Business Address
-- SHARON G. LAKE APRN, NP-C
4607 MACCORKLE AVE SW SUITE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-766-3688
Mailing Address
-- SHARON G. LAKE APRN, NP-C
204 STONE PL
SCOTT DEPOT, WV 25560-9465
Phone number: 304-539-1298