DOROTHY NICOLE LAKE

CARROLLTON, GA
NPI1528438538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  APRN-NP213402)
Enumeration Date2015-10-02
Last Update Date2025-10-24
Business Address
-- DOROTHY NICOLE LAKE CPNP
706 DIXIE ST STE 200
CARROLLTON, GA 30117-3889
Phone number: 770-812-8640
Mailing Address
-- DOROTHY NICOLE LAKE CPNP
706 DIXIE ST STE 220
CARROLLTON, GA 30117-3889
Phone number: 770-812-8825
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