Alexandra L Lake

NPI #1003300252 in Bingham Farms, Michigan

Provider Information

NPI Number: 1003300252
Entity Type: Individual
Name: Alexandra L Lake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Jun 20, 2018
Last Updated: Jun 20, 2018

Practice Location

Address: 32100 TELEGRAPH RD STE 205
City: Bingham Farms
State: Michigan
ZIP Code: 48025-2454
Phone: (248) 712-4266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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