Melina Luzaida Lake, MSED
Melina Luzaida Lake, MSED is a Specialist in Fresh Meadows, New York. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6143 186th StFresh Meadows, NY 11365-2710
Phone: (929) 200-7105
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1568060226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSED |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2020 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
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