KATHLEEN A LAKE

SPRINGFIELD, IL
NPI1558343103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-086125)
Enumeration Date2005-11-18
Last Update Date2009-08-31
Business Address
-- KATHLEEN A LAKE M.D.
301 N 8TH ST
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-4238
Mailing Address
-- KATHLEEN A LAKE M.D.
PO BOX 19658
SPRINGFIELD, IL 62794-9658
Phone number: 217-545-4238
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