JOHN T LAKE

CAPE GIRARDEAU, MO
NPI1629270194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO  108382)
Enumeration Date2007-06-05
Last Update Date2018-08-01
Business Address
JOHN T LAKE M.D.
60 DOCTORS PARK LOWR LEVEL
CAPE GIRARDEAU, MO 63703
Phone number: 573-519-4949
Mailing Address
JOHN T LAKE M.D.
60 DOCTORS PARK LOWR LEVEL
CAPE GIRARDEAU, MO 63703-4928
Phone number: 573-519-4949
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