Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abbey Lake, RD, CNSC

Individual provider Registered Dietitian · NPI 1649078148

Abbey Lake, RD, CNSC is a Registered Dietitian in Stockton, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 467-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86154604 (CA)

Record details

NPI number1649078148
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CNSC
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address11860 Clay Station Rd, Herald, CA 95638-9773

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