David R Lake, ATC

NPI #1003113820 in Franklin, Wisconsin

Provider Information

NPI Number
1003113820
Entity Type
Individual
Name
David R Lake, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Feb 14, 2011
Last Updated
Jan 26, 2015

Practice Location

Address
8917 S 77TH ST
ZIP Code
53132-9784
Phone
(414) 698-3730

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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