JOSEPH LAKE

BALTIMORE, MD
NPI1962402511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R080788)
Enumeration Date2005-07-26
Last Update Date2009-10-28
Business Address
-- JOSEPH LAKE crna
2401 W BELVEDERE AVE ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215-5216
Phone number: 410-601-5209
Mailing Address
-- JOSEPH LAKE crna
68 S SERVICE RD SUITE 350
MELVILLE, NY 11747-2354
Phone number: 516-945-3000
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