| Contact Information | |
|---|---|
| First Name | Bruce |
| Last Name | Lakeman |
| State | OH |
| Work Phone | - |
| Fax | |
| bruce_lakeman@hotmail.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Bruce - Lakeman |
| Date of Injury | 06/30/05 |
| Type of Injury | Traumatic |