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Mrs. Latosha Shanta Lake
Public Health or Welfare Agency in Lorain, Ohio
NPI 1366209678

Latosha Shanta Lake is a Public Health or Welfare Agency based in Lorain, OH. Latosha Shanta Lake practices in Lorain, OH. The NPI Number for Latosha Shanta Lake is 1366209678 and holds a License No. (Ohio).

The current practice location address for Latosha Shanta Lake is 1424 Redbud Pl, Lorain, OH and can be reached out via phone at 440-597-8150.

Location: 1424 Redbud Pl, Lorain, OH, 44053-3147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366209678
Provider Name
Latosha Shanta Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1424 Redbud Pl, Lorain, OH, 44053-3147
Phone Number
440-597-8150
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1424 Redbud Pl
City
Lorain
State
Ohio
Zip
44053-3147
Phone Number
440-597-8150
Fax Number
person
Provider Business Mailing Address Details
Address
1424 Redbud Pl
City
Lorain
State
Ohio
Zip
44053-3147
Phone Number
440-597-8150
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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