Madison Jo Lake

NPI #1407446842 in Sebeka, Minnesota

Provider Information

NPI Number
1407446842
Entity Type
Individual
Name
Madison Jo Lake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jan 20, 2021
Last Updated
Jan 20, 2021

Practice Location

Address
1001 WELLS AVE E
City
Sebeka
ZIP Code
56477-2730
Phone
(218) 639-3676

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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