JENNIFER LAKE

TERRE HAUTE, IN
NPI1922461441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71006171A)
Enumeration Date2016-04-01
Last Update Date2017-05-02
Business Address
-- JENNIFER LAKE NP
3500 MAPLE AVE
TERRE HAUTE, IN 47804-1732
Phone number: 812-238-1555
Mailing Address
-- JENNIFER LAKE NP
12201 BLUEGRASS PKWY
LOUISVILLE, KY 40299-2361
Phone number: 502-568-7364
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