DR. Russell Steven Lake, O.D.
NPI #1720603392 in East Wenatchee, Washington
Provider Information
- NPI Number
- 1720603392
- Entity Type
- Individual
- Name
- DR. Russell Steven Lake, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 375 HIGHLINE DR
- City
- East Wenatchee
- State
- Washington
- ZIP Code
- 98802-5344
- Phone
- (509) 886-0924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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