Corie Lake
Registered Nurse in Bayonne, New Jersey
1063138964- Practice location
- 601 Broadway, Bayonne, NJ 07002-3818
- Phone
- 201-339-7842
- Fax
- 201-339-7842
- Last updated
- October 13, 2022
Corie Lake is a Registered Nurse based in Bayonne, NJ. Corie Lake practices in Bayonne, NJ. The NPI Number for Corie Lake is 1063138964 and holds a License No. 26nr14309300 (NJ). The current practice location address for Corie Lake is 601 Broadway, Bayonne, NJ 07002-3818 and can be reached out via phone at 201-339-7842 and via fax at 201-339-7842.
Provider Profile Details
- NPI Number
- 1063138964
- Provider Name
- Corie Lake
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 601 Broadway, Bayonne, NJ 07002-3818
- Phone Number
- 201-339-7842
- Fax Number
- 201-339-7842
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2022
- Last Update Date
- October 13, 2022
- Certification Date
- October 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 601 Broadway
Bayonne, NJ 07002-3818 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3818
- Phone Number
- 201-339-7842
- Fax Number
- 201-339-7842
Provider Business Mailing Address Details
- Address
- 601 Broadway
Bayonne, NJ 07002-3818 - City
- Bayonne
- State
- NJ
- Zip
- 07002-3818
- Phone Number
- 201-339-7842
- Fax Number
- 201-339-7842
License Information
- License Number
- 26nr14309300
- License State
- NJ
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Corie Lake?
The NPI number of Corie Lake is 1063138964. It was assigned on October 13, 2022 and is currently active in the NPPES registry.
What is the specialty of Corie Lake?
Corie Lake is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26nr14309300.
Where does Corie Lake practice?
The practice location is 601 Broadway, Bayonne, NJ 07002-3818. The office can be reached at 201-339-7842 (phone) or 201-339-7842 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063138964 directly on the NPPES registry website.