MR. Nathan O Lake, RN

NPI #1447253059 in Issaquah, Washington

Provider Information

NPI Number
1447253059
Entity Type
Individual
Name
MR. Nathan O Lake, RN
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
May 27, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
700 NW GILMAN BLVD
Address 2
E103/352
ZIP Code
98027-5395
Phone
(425) 269-6466

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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