SUSAN LAKE, AGNP

Nurse Practitioner - Gerontology

Active Individual
NPI: 1790255941

Practice Address

1618 RIVERSIDE DRIVE
Trenton, NJ 08618

Phone: (609) 372-7754

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 26NJ00877500 (NJ)
Nurse Practitioner - Gerontology 363LG0600X Yes 26NJ00877500 (NJ)

Frequently Asked Questions

NPI 1790255941 is the National Provider Identifier for SUSAN LAKE, AGNP, a Nurse Practitioner - Gerontology provider located in Trenton, NJ. This NPI was enumerated on November 30, 2018.
SUSAN LAKE, AGNP practices at 1618 RIVERSIDE DRIVE, Trenton, NJ 08618.

Quick Facts

NPI
1790255941
Type
Individual
Enumerated
Nov 30, 2018
Last Updated
Nov 30, 2018

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