| Mr Lake Markel, LPN | |
|
300 W Mcnichols Rd, Detroit, MI 48203-2703 | |
| (313) 867-8015 | |
| (313) 867-8040 |
| Full Name | Mr Lake Markel |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 300 W Mcnichols Rd, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396145322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703102654 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lake Markel, LPN 300 W Mcnichols Rd, Detroit, MI 48203-2703 Ph: (313) 867-8015 | Mr Lake Markel, LPN 300 W Mcnichols Rd, Detroit, MI 48203-2703 Ph: (313) 867-8015 |
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