Organization · Type 2 NPI
Valerie E Lake, Dds, LLC
Dental Clinic/Center · Fort Wayne, IN
NPI number
1053062430
Active
Practice location
6211 Covington Rd
Fort Wayne, IN 46804-7311
Fax (260) 432-4540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1053062430
Valerie E Lake, Dds, LLC's National Provider Identifier is 1053062430, issued on Jan 17, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 8, 2022.