MR. Gary William Lake, ATC
NPI #1598738825 in Wadsworth, Ohio
Provider Information
- NPI Number
- 1598738825
- Entity Type
- Individual
- Name
- MR. Gary William Lake, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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