Search › New Jersey › 363LG0600X
Susan Lake, AGNP
NPI 1790255941 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1618 Riverside Drive
Trenton, NJ 08618 - Phone
- (609) 372-7754
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 363LA2200X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey