WILLIAM CAREY LAKE

HANNA, WY
NPI1497390017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  44879)
Enumeration Date2019-11-07
Last Update Date2019-12-18
Business Address
WILLIAM CAREY LAKE APRN
1025 JADE DRIVEE
HANNA, WY 82327-8232
Phone number: 307-321-8782
Mailing Address
WILLIAM CAREY LAKE APRN
1008 FELDSPAR CT
HANNA, WY 82327-5046
Phone number: 859-314-7052
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