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Kayse Lee Lake, DPM
Foot & Ankle Surgery Podiatrist in Durango, Colorado
NPI 1366686800

Kayse Lee Lake is a Foot & Ankle Surgery Podiatrist based in Durango, CO and is specialized in Foot & Ankle Surgery. Kayse Lee Lake practices in Durango, CO and has the professional credentials of DPM. The NPI Number for Kayse Lee Lake is 1366686800 and holds a License No. 348 (Colorado).

The current practice location address for Kayse Lee Lake is 1266 Escalante Dr, Durango, CO and can be reached out via phone at 970-253-5303 and via fax at 970-259-3510.

Location: 1266 Escalante Dr, Durango, CO, 81303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366686800
Provider Name
Kayse Lee Lake
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1266 Escalante Dr, Durango, CO, 81303
Phone Number
970-253-5303
Fax Number
970-259-3510
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07501552 05 CO
institution
Provider Business Practice Location Address Details
Address
1266 Escalante Dr
City
Durango
State
Colorado
Zip
81303
Phone Number
970-253-5303
Fax Number
970-259-3510
person
Provider Business Mailing Address Details
Address
1266 Escalante Dr
City
Durango
State
Colorado
Zip
81303
Phone Number
970-253-5303
Fax Number
970-259-3510
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
348 (New Mexico)
Definition
Definition to come...
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