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1770984163
WINDSOR M. LAKE
SPRINGFIELD, MO
NPI
1770984163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2014028414)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
-- WINDSOR M. LAKE
1229 E SEMINOLE ST SUITE 220
SPRINGFIELD, MO 65804-2227
Phone number: 417-820-5150
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Mailing Address
-- WINDSOR M. LAKE
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-820-2000
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