Chasity Marie Lake

NPI #1386445146 in Vandalia, Ohio

Provider Information

NPI Number: 1386445146
Entity Type: Individual
Name: Chasity Marie Lake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 19, 2025
Last Updated: Mar 19, 2025

Practice Location

Address: 363 BUTTERCUP AVE
City: Vandalia
State: Ohio
ZIP Code: 45377-1847
Phone: (937) 470-2872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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