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Windsor M. Lake
Family Nurse Practitioner in Springfield, Missouri
NPI 1770984163

Windsor M. Lake is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Windsor M. Lake practices in Springfield, MO. The NPI Number for Windsor M. Lake is 1770984163 and holds a License No. 2014028414 (Missouri).

The current practice location address for Windsor M. Lake is 1229 E Seminole St, Springfield, MO and can be reached out via phone at 417-820-5150 and via fax at 417-820-5155.

Location: 1229 E Seminole St, Springfield, MO, 63150-5164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770984163
Provider Name
Windsor M. Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
1229 E Seminole St, Springfield, MO, 63150-5164
Phone Number
417-820-5150
Fax Number
417-820-5155
Provider Enumeration Date
09/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
1229 E Seminole St
City
Springfield
State
Missouri
Zip
65804-2227
Phone Number
417-820-5150
Fax Number
417-820-5155
person
Provider Business Mailing Address Details
Address
1229 E Seminole St
City
Springfield
State
Missouri
Zip
65804-2227
Phone Number
417-820-5150
Fax Number
417-820-5155
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2014028414 (Missouri)
Definition
Definition to come...
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