All Medicaid billing entities listing LAKE, LARRY (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Florida | 1 | $201K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ST JOHNS COUNTY WELFARE FEDERATION | ST AUGUSTINE, FL | Skilled Nursing Facility | $201K |