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Angela M Lake

Community Health Worker in Topeka, KS. Individual provider (NPI-1).

NPI number1164069712
StatusActive
Last updated in NPPESDec 3, 2019

Details

NPI
1164069712
Entity type
Individual (NPI-1)
Name
Angela M Lake
Sex
Female
Sole proprietor
No
Enumeration date
Dec 3, 2019
Last updated
Dec 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

325 Sw Frazier Ave
Topeka, KS 66606-1963

Phone 785-232-5005 · Fax 888-972-5038

Mailing address

325 Sw Frazier Ave
Topeka, KS 66606-1963

Phone 785-232-5005 · Fax 888-972-5038

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