DR. Susan Lake, O.D.
NPI #1285687210 in Warrensburg, Missouri
Provider Information
- NPI Number
- 1285687210
- Entity Type
- Individual
- Name
- DR. Susan Lake, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist - Vision Therapy
- Credential
- O.D.
- Enumeration Date
- May 19, 2006
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 601 E RUSSELL AVE
- Address 2
- SUITE A
- City
- Warrensburg
- State
- Missouri
- ZIP Code
- 64093-9605
- Phone
- (660) 747-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Vision Therapy — Vision Therapy |
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