Donita Lake

NPI 1710695531 · on the registry since 2022 · sole proprietor

Practice

Address: 11225 Front St
Mokena, IL 60448
Phone: (708) 537-7332
Organisation at this address: Megan Maiero Pllc
Real Change Therapy Llc
Christensen & Sons, Llc
Mindset Transformations, Llc
Mindset Transformations, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-11-10

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 Illinois