MATTHEW LAKE
Case Manager/Care Coordinator
Active
Individual
NPI: 1104623321
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1104623321 is the National Provider Identifier for MATTHEW LAKE, a Case Manager/Care Coordinator provider located in Tiffin, OH. This NPI was enumerated on February 26, 2025.
MATTHEW LAKE practices at 76 ASHWOOD DR, Tiffin, OH 44883.
Quick Facts
- NPI
- 1104623321
- Type
- Individual
- Enumerated
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
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