Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN LAKE, O.D.
ActiveDR. SUSAN LAKE, O.D. is a Vision Therapy Optometrist healthcare provider located in WARRENSBURG, Missouri. NPI 1285687210 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · WARRENSBURG, MO
Registration Details
- NPI Number
- 1285687210
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2006 (20.260862571541 yrs)
- Last Updated
- Jun 18, 2008
- License
-
T03457 (MO)
Practice Information
- Address
-
601 E RUSSELL AVESUITE AWARRENSBURG, MO, 640939605Browse MO providers · Browse ZIP 64093
- Phone
- 6607472020
- Fax
- 6607470574
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.