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1528040052
CATHERINE ANN LAKE
MERCED, CA
NPI
1528040052
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Former Name
LAURIE ANN DICKINSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13544)
Enumeration Date
2005-11-18
Last Update Date
2023-03-07
Business Address
Ms. CATHERINE ANN LAKE PA-C
737 W CHILDS AVE
MERCED, CA 95341-6805
Phone number: 209-383-1848
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Mailing Address
Ms. CATHERINE ANN LAKE PA-C
847 W CHILDS AVE
MERCED, CA 95341-6862
Phone number: 209-383-7441
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