DR. Andrew Edgar Lake, D.C.

NPI #1902918519 in Bayfield, Colorado

Provider Information

NPI Number
1902918519
Entity Type
Individual
Name
DR. Andrew Edgar Lake, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
40031 US HIGHWAY 160
Address 2
SUITE C
ZIP Code
81122-8746
Phone
(970) 884-1072

Specialties & Taxonomy Codes

Specialty
Chiropractor

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