DR. Richard B Lake, O.D.
NPI #1255338513 in Winter Haven, Florida
Provider Information
- NPI Number
- 1255338513
- Entity Type
- Individual
- Name
- DR. Richard B Lake, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jul 1, 2005
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 6027 CYPRESS GARDENS BLVD
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33884-4115
- Phone
- (863) 326-5824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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