MRS. Jennifer L Lake
NPI #1760006506 in Middleburg, Florida
Provider Information
- NPI Number
- 1760006506
- Entity Type
- Individual
- Name
- MRS. Jennifer L Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 7, 2020
- Last Updated
- Jun 7, 2020
Practice Location
- Address
- 4298 GREAT EGRET WAY
- City
- Middleburg
- State
- Florida
- ZIP Code
- 32068-8760
- Phone
- (803) 318-2052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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