CAROL LAKE

BALTIMORE, MD
NPI1891028346
Former NameCAROL WILKES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R101279)
Enumeration Date2009-09-16
Last Update Date2012-10-05
Business Address
Ms. CAROL LAKE FNP
430 S BROADWAY
BALTIMORE, MD 21231-2409
Phone number: 443-825-3450
Mailing Address
Ms. CAROL LAKE FNP
430 S BROADWAY
BALTIMORE, MD 21231-2409
Phone number: 443-825-3450
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