Susan P Lake, MED | |
518 Meadow Mountain Dr., 518 Meadow Mountain Dr., Allenspark, CO 80510-0012 | |
(303) 747-0293 | |
Not Available |
Full Name | Susan P Lake |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 518 Meadow Mountain Dr., Allenspark, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750586582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susan P Lake, MED Po Box 12, Allenspark, CO 80510-0012 Ph: (303) 747-0293 | Susan P Lake, MED 518 Meadow Mountain Dr., 518 Meadow Mountain Dr., Allenspark, CO 80510-0012 Ph: (303) 747-0293 |
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