SearchCalifornia363L00000X

Miriam Lakes, NP

NPI 1871164822 · on the registry since 2021 · sole proprietor

Practice

Address
747 Channel Street
Stockton, CA 95202
Phone
(209) 944-4700

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-31

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 California