person
Kimberly Jane Lake, NP
Family Nurse Practitioner in New York, New York
NPI 1821532250

Kimberly Jane Lake is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Kimberly Jane Lake practices in New York, NY and has the professional credentials of NP. The NPI Number for Kimberly Jane Lake is 1821532250 and holds a License No. 341106 (New York).

The current practice location address for Kimberly Jane Lake is 250 W 89Th St, New York, NY and can be reached out via phone at 917-533-8301.

Location: 250 W 89Th St, New York, NY, 10024-1700
person
Provider Profile Details
NPI Number
1821532250
Provider Name
Kimberly Jane Lake
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
250 W 89Th St, New York, NY, 10024-1700
Phone Number
917-533-8301
Fax Number
Provider Enumeration Date
12/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
250 W 89Th St
City
State
Zip
10024-1700
Phone Number
917-533-8301
Fax Number
person
Provider Business Mailing Address Details
Address
250 W 89Th St
City
State
Zip
10024-1700
Phone Number
917-533-8301
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
341106 (New York)
Definition
Definition to come...
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