CHARISSA LAKE

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1124479225

Practice Address

3350 LA JOLLA VILLAGE DR
San Diego, CA 92161

Phone: (858) 642-3345

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1124479225 is the National Provider Identifier for CHARISSA LAKE, a Student in an Organized Health Care Education/Training Program provider located in San Diego, CA. This NPI was enumerated on June 29, 2016.
CHARISSA LAKE practices at 3350 LA JOLLA VILLAGE DR, San Diego, CA 92161.

Quick Facts

NPI
1124479225
Type
Individual
Enumerated
Jun 29, 2016
Last Updated
Jun 29, 2016

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