Dale Lake

NPI 1134425556 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1134425556
Gender Male
Enumeration Date 02/02/2011
Last Updated 02/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2706 SW TUTBURY TOWN RD
TOPEKA KS, 66614, US
Phone (785) 215-0105
Fax
Business Location
2706 SW TUTBURY TOWN RD
TOPEKA KS, 66614-4332, US
Phone
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Dale Lake NPI is 1134425556, taxonomy code is 171M00000X Dale Lake physically located at 2706 Sw Tutbury Town Rd, Topeka KS, 66614. NPI Number Dale Lake has the Individual type.

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1134425556 NPI number is provided on an as is basis without warranty of any kind. 1134425556 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Lake are for informational purposes only.