Lake, Courtney Marie

Lake, Courtney Marie is an individual health care provider with primary practice located at 10201 66Th Rd , Forest Hills NY 11375-2029. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lake, Courtney Marie can be contacted via phone (718) 830-4000.

Contact Information

Primary practice address
10201 66Th Rd Forest Hills NY 11375-2029
Phone: (718) 830-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F432374 New York
Nursing Service Providers / Registered Nurse 163W00000X 621543 New York

Profile Details

NPI number 1770812257
LBN Legal business name Lake, Courtney Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Feb 16th, 2023 - 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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