All Medicaid billing entities listing LAKE, EDWARD (PRESIDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $106K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | EDWARD WILLIAM LAKE DDS PC | POTOSI, MO | Dental Clinic/Center | $106K |