Matthew Ryan Lake

NPI #1104623321 in Tiffin, Ohio

Provider Information

NPI Number
1104623321
Entity Type
Individual
Name
Matthew Ryan Lake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Feb 26, 2025
Last Updated
Feb 26, 2025

Practice Location

Address
76 ASHWOOD DR
City
Tiffin
State
Ohio
ZIP Code
44883-1908
Phone
(419) 448-9440

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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