Corie Lake
NPI #1063138964 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1063138964
- Entity Type
- Individual
- Name
- Corie Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Oct 13, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 601 BROADWAY
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-3818
- Phone
- (201) 339-7842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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