LISA LAKE

SAGINAW, MI
NPI1942170279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703105327)
Enumeration Date2025-11-11
Last Update Date2025-11-11
Business Address
LISA LAKE
5451 HAMPTON PL
SAGINAW, MI 48604-9284
Phone number: 810-487-5571
Mailing Address
LISA LAKE
5451 HAMPTON PL
SAGINAW, MI 48604-9284
Phone number: 810-487-5571
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