LAURA E DIETRICH-LAKE

PHOENIX, AZ
NPI1639684046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP10869)
Enumeration Date2017-12-07
Last Update Date2018-03-17
Business Address
LAURA E DIETRICH-LAKE FNP-C
4707 N 12TH ST
PHOENIX, AZ 85014-4009
Phone number: 602-344-2506
Mailing Address
LAURA E DIETRICH-LAKE FNP-C
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000
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