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Stacy Lake
NPI 1801436027 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1018 Ludington St
Escanaba, MI 49829 - Phone
- (702) 277-1369
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-15
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 Michigan