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

Individual provider Medical-Surgical Registered Nurse · NPI 1710623657

Mr. Anthony M Lake, RN is a Medical-Surgical Registered Nurse in San Diego, California. Works from 2 locations. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3853 Rosecrans St
San Diego, CA 92110-3115
Phone: (619) 692-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E McDowell Rd, Phoenix, AZ 85006-2612 — (602) 839-2000

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 95281724 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 95281724 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 245932 (AZ)

Record details

NPI number1710623657
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022

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