DR. Eden Louise Pappo Lake, M.D.

NPI #1578904892 in La Grange Park, Illinois

Provider Information

NPI Number: 1578904892
Entity Type: Individual
Name: DR. Eden Louise Pappo Lake, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 15, 2013
Last Updated: Mar 7, 2023

Practice Location

Address: 321 N LA GRANGE RD
City: La Grange Park
State: Illinois
ZIP Code: 60526-5622
Phone: (708) 485-1271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Dermatology	207N00000X	Primary

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