| NPI | 1740627629 |
|---|---|
| Professional Name | ELAINE M LAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2268) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2014031706) |
| 237700000X Hearing Instrument Specialist (Licence: KS 1639) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2022-02-23 |