Individual provider · Type 1 NPI
Anthony M. Lake, RN
Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1710623657
Active
Practice location
3853 Rosecrans St
San Diego, CA 92110-3115
Other practice locations
- 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 · (602) 839-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 95281724 (CA) |
| Medical-Surgical Registered Nurse | 163WM0705X | 245932 (AZ) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95281724 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1710623657
Anthony M. Lake, RN's National Provider Identifier is 1710623657, issued on May 11, 2022. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Diego, CA. The record was last updated on May 17, 2022.