Individual provider · Type 1 NPI
Codie R. Lake, RN
Psychiatric/Mental Health Registered Nurse · Bronx, NY
NPI number
1144894718
Active
Practice location
2039 Nereid Ave
Bronx, NY 10466-1110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 726518 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1144894718
Codie R. Lake, RN's National Provider Identifier is 1144894718, issued on May 18, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bronx, NY. The record was last updated on May 18, 2021.