Madison Jo Lake
Madison Jo Lake is an Athletic Trainer in Sebeka, Minnesota. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1001 Wells Ave ESebeka, MN 56477-2730
Phone: (218) 639-3676
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1407446842 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 20, 2021 |
| Last updated in NPPES | January 20, 2021 |
| Certification date | January 20, 2021 |
| Mailing address | 1001 Wells Ave E, Sebeka, MN 56477-2730 |