Alison Lake, RN

NPI #1215458807 in Grantsburg, Wisconsin

Provider Information

NPI Number: 1215458807
Entity Type: Individual
Name: Alison Lake, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jul 4, 2017
Last Updated: Jul 4, 2017

Practice Location

Address: 12119 N FORK DR
City: Grantsburg
State: Wisconsin
ZIP Code: 54840-7152
Phone: (715) 566-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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