JAY LAKE

OMAHA, NE
NPI1538273263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  100797)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- JAY LAKE CRNA
7500 MERCY RD
OMAHA, NE 68124
Phone number: 402-343-8760
Mailing Address
-- JAY LAKE CRNA
7710 MERCY RD SUITE 424
OMAHA, NE 68124
Phone number: 402-343-8760
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