Shan Lake, RN
NPI #1952486078 in Lemon Grove, California
Provider Information
- NPI Number
- 1952486078
- Entity Type
- Individual
- Name
- Shan Lake, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7922 PALM ST
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-2956
- Phone
- (619) 464-3488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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