MRS. Pearl A Lake
NPI #1053907261 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1053907261
- Entity Type
- Individual
- Name
- MRS. Pearl A Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Dec 12, 2020
- Last Updated
- Dec 12, 2020
Practice Location
- Address
- 2214 S 57TH ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19143-5705
- Phone
- (886) 884-8807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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