KATHERINE NICOLE LAKE

TYLER, TX
NPI1891589131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-09
Last Update Date2025-04-09
Business Address
KATHERINE NICOLE LAKE MD
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200
Mailing Address
KATHERINE NICOLE LAKE MD
11937 US HIGHWAY 271
TYLER, TX 75708-3154
Phone number: 903-877-7200