LAKE DERMATOLOGY INC.

LAFAYETTE, IN
NPI1689898447
Entity TypeOrganization
Authorized ContactMARK ADRIAN LAKE
President
765-538-3508
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IN  01055166A)
Enumeration Date2007-04-12
Last Update Date2008-11-13
Business Address
LAKE DERMATOLOGY INC.
15 EXECUTIVE DR SUITE 4
LAFAYETTE, IN 47905-3833
Phone number: 765-838-3428
Mailing Address
LAKE DERMATOLOGY INC.
15 EXECUTIVE DR SUITE 4
LAFAYETTE, IN 47905-3833
Phone number: 765-838-3428
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