CURTIS E LAKE

FORT WAYNE, IN
NPI1750892675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002398)
Enumeration Date2017-10-18
Last Update Date2022-10-10
Business Address
CURTIS E LAKE
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-425-6780
Mailing Address
CURTIS E LAKE
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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