JOSEPH CHRISTOPHER LAKE

EULESS, TX
NPI1508155870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  80)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  80)
Enumeration Date2011-04-07
Last Update Date2011-09-01
Business Address
MR. JOSEPH CHRISTOPHER LAKE L/CPO, FAAOP
350 WESTPARK WAY SUITE 108
EULESS, TX 76040-3964
Phone number: 817-358-1500
Mailing Address
MR. JOSEPH CHRISTOPHER LAKE L/CPO, FAAOP
350 WESTPARK WAY SUITE 108
EULESS, TX 76040-3964
Phone number: 817-358-1500