Jeremy William Lake
Jeremy William Lake is a Counselor in Cedar City, Utah. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
6484 N 2300 WCedar City, UT 84721-7102
Phone: (435) 867-4876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1770802431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 20, 2010 |
| Last updated in NPPES | May 20, 2010 |
| Mailing address | 6484 N. 2300 W., Cedar City, UT 84721 |
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