ANTHONY M LAKE

SAN DIEGO, CA
NPI1710623657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95281724)
Additional Taxonomies163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA  95281724)
163WM0705X Registered Nurse, Medical-Surgical
(Licence: AZ  245932)
Enumeration Date2022-05-11
Last Update Date2022-05-17
Business Address
Mr. ANTHONY M LAKE RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
Mr. ANTHONY M LAKE RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232