MRS. Latosha Shanta Lake

NPI #1366209678 in Lorain, Ohio

Provider Information

NPI Number
1366209678
Entity Type
Individual
Name
MRS. Latosha Shanta Lake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Public Health or Welfare
Enumeration Date
Mar 4, 2024
Last Updated
Mar 4, 2024

Practice Location

Address
1424 REDBUD PL
City
Lorain
State
Ohio
ZIP Code
44053-3147
Phone
(440) 597-8150

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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