Linda Susan Lake R.N.

NPI 1730210410 - Registered Nurse - 163W00000X

NPI Details
NPI 1730210410
Gender Female
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4441 VIA SEPULVEDA UNIT 2
SAN DIEGO CA, 92122-4401, US
Phone (858) 554-1125
Fax
Business Location
4441 VIA SEPULVEDA UNIT 2
SAN DIEGO CA, 92122-4401, US
Phone (858) 554-1125
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 442383
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According to our database, Ms. Linda Susan Lake R.N. NPI is 1730210410, taxonomy code is 163W00000X and license number is 442383, license state is located at California. Linda Susan Lake R.N. physically located at 4441 Via Sepulveda Unit 2, San Diego CA, 92122-4401. NPI Number Linda Susan Lake R.N. has the Individual type.

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1730210410 NPI number is provided on an as is basis without warranty of any kind. 1730210410 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Susan Lake R.N. are for informational purposes only.