NPI 1992315410

Daje Lake

Practitioner Prosthetist Ocala, FL

Practice location

Address: 2105 NW 24th Rd, Ocala, FL 34475-4865
Phone: (352) 258-7330

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1992315410
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2020
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.