person
Janice Lake, TECH
Sonography Radiologic Technologist in Mesquite, Texas
NPI 1053419150

Janice Lake is a Sonography Radiologic Technologist based in Mesquite, TX and is specialized in Sonography. Janice Lake practices in Mesquite, TX and has the professional credentials of TECH. The NPI Number for Janice Lake is 1053419150 and holds a License No. (Texas).

The current practice location address for Janice Lake is 4124 Gus Thomasson Road, Mesquite, TX and can be reached out via phone at 972-682-0484 and via fax at 214-221-5600. You can also correspond with Janice Lake through the mailing address at 4124 GUS THOMASSON ROAD, MESQUITE, TX - 75150-2226 (mailing address contact number: 972-682-0484).

Location: 4124 Gus Thomasson Road, Mesquite, TX, 75150-2226
person
Provider Profile Details
NPI Number
1053419150
Provider Name
Janice Lake
Credential
TECH
Provider Entity Type
Individual
Gender
Female
Address
4124 Gus Thomasson Road, Mesquite, TX, 75150-2226
Phone Number
972-682-0484
Fax Number
214-221-5600
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
459840 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
4124 Gus Thomasson Road
City
State
Zip
75150-2226
Phone Number
972-682-0484
Fax Number
214-221-5600
person
Provider Business Mailing Address Details
Address
4124 Gus Thomasson Road
City
State
Zip
75150-2226
Phone Number
972-682-0484
Fax Number
214-221-5600
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
(Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
License No.
(Texas)
Definition
Definition to come...
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