Individual provider · Type 1 NPI

Corey Lake, RN

Registered Nurse · Chula Vista, CA

NPI number 1316809346 Active

Practice location

330 Moss St
Chula Vista, CA 91911-2005

Call (801) 602-0426 Map

Mailing address

4545 Arizona St Apt 309
San Diego, CA 92116-5910

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95416500 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316809346

Corey Lake, RN's National Provider Identifier is 1316809346, issued on Nov 28, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chula Vista, CA. The record was last updated on Nov 28, 2025.