JASON T LAKE

WESTWOOD, MA
NPI1821048182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  267169)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- JASON T LAKE CRNA
690 CANTON ST SUITE 325
WESTWOOD, MA 02090-2321
Phone number: 781-407-7713
Mailing Address
-- JASON T LAKE CRNA
690 CANTON ST SUITE 325
WESTWOOD, MA 02090-2321
Phone number: 781-407-7713