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Jodi Lake

NPI 1457826869 · on the registry since 2018

Practice

Address
2523 Lorentson Ct
Kokomo, IN 46901
Phone
(765) 252-9909

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2018-10-11

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 Indiana