Corie Lake
Corie Lake is a Registered Nurse in Bayonne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
601 BroadwayBayonne, NJ 07002-3818
Phone: (201) 339-7842
Fax: (201) 339-7842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 26NR14309300 (NJ) |
|---|
Record details
| NPI number | 1063138964 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 601 Broadway, Bayonne, NJ 07002-3818 |
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