Search › Iowa › 363LA2100X
Michelle Lake
NPI 1033838826 · on the registry since 2022
Practice
- Address
- 1236 E Rusholme St Ste 300
Davenport, IA 52803 - Phone
- (800) 382-0707
- Organisation at this address
- Genesis Health System
Genesis Medical Center
Cardiovascular Medicine PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
163W00000X - Licence states on file
- IL, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa