Kathleen A Lake, M.D.

NPI #1558343103 in Springfield, Illinois

Provider Information

NPI Number
1558343103
Entity Type
Individual
Name
Kathleen A Lake, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Nov 18, 2005
Last Updated
Aug 31, 2009

Practice Location

Address
301 N 8TH ST
ZIP Code
62701-1041
Phone
(217) 545-4238

Specialties & Taxonomy Codes

Specialty
Pediatrics

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