Individual provider · Type 1 NPI

Courtney Marie Lake, NP

Acute Care Nurse Practitioner · Forest Hills, NY

NPI number 1770812257 Active

Practice location

10201 66th Rd
Forest Hills, NY 11375-2029

Mailing address

8 Chatham Woods Dr
Centereach, NY 11720-4029

Other practice locations

  • 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 · (716) 276-2123

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF432374 (NY)
Registered Nurse 163W00000X621543 (NY)

Acute Care Nurse Practitioner: Definition to come...

244 other providers at this address

Other acute care nurse practitioner providers in Forest Hills

See all in Forest Hills →

About NPI 1770812257

Courtney Marie Lake, NP's National Provider Identifier is 1770812257, issued on Dec 14, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Forest Hills, NY. The record was last updated on Feb 16, 2023.