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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARGARET LAKE

Active Sole Proprietor

Pediatric Nutrition · SAINT LOUIS, MO

Registration Details

NPI Number
1336167014
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2006 (19.761756200251 yrs)
Last Updated
Nov 9, 2016
License
2001026115 (MO)
Sole Proprietor
Yes

Practice Information

Address
1 CHILDRENS PL
SAINT LOUIS, MO, 631101002
Browse MO providers · Browse ZIP 63110
Phone
3144546043
Fax
3144544801
Primary Specialty
Pediatric Nutrition
133VN1004X

Other Pediatric Nutrition Providers in SAINT LOUIS, MO

Name Credential NPI
MRS. CASSANDRA L SAXON R.D. 1215147848
MS. JAMIE LOUISE NILSON RD 1225303290
MS. JULIE ANN CAPPELLETTI-BROWN RD 1659715605
ANNE TURNER 1336574987
MS. RACHEL BELL PARKS RD 1992167019
ANDREA CLARK RD, LD 1063863959
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.