Dr WINDSOR M LAKE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
MERCY CLINIC SPRINGFIELD COMMUNITIES
3050 E RIVER BLUFF BLVD
MC ORTHOPEDICS
OZARK
MO
657218807
Tel: 4178205610
| Npi | 1770984163 |
| Pac Id | 2264653641 |
| Professional Enrollment Id | I20141028002846 |
| Last Name | LAKE |
| First Name | WINDSOR |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Group Practice Pac Id | 7416865845 |
| Number Of Group Practice Members | 933 |
| Line 1 Street Address | 3050 E RIVER BLUFF BLVD |
| Line 2 Street Address | MC ORTHOPEDICS |
| Marker Of Address Line 2 Suppression | |
| City | OZARK |
| State | MO |
| Zip Code | 657218807 |
| Phone Number | 4178205610 |
| Hospital Affiliation Ccn 1 | 260065 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL SPRINGFIELD |
| Hospital Affiliation Ccn 2 | 260059 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL LEBANON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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