Lake, Anthony M

Lake, Anthony M is an individual health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is his primary health care specialty. Lake, Anthony M can be contacted via phone (619) 692-8232.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Phone: (619) 692-8232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 95281724 California
Nursing Service Providers / Medical-Surgical 163WM0705X 245932 Arizona
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95281724 California

Profile Details

NPI number 1710623657
LBN Legal business name Lake, Anthony M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2022
Last updated May 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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