DONALD LAKE

PORT HURON, MI
NPI1871014944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MI  4704210937)
Enumeration Date2017-06-29
Last Update Date2022-07-21
Business Address
DONALD LAKE FNP-C
1221 PINE GROVE AVE MCIAREN PORT HURON
PORT HURON, MI 48060
Phone number: 810-987-5000
Mailing Address
DONALD LAKE FNP-C
1221 PINE GROVE AVE MCIAREN PORT HURON
PORT HURON, MI 48060
Phone number: 810-987-5000
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