Individual
CRYSTAL DIONNE LAKE-AKINNUOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
582 E HARDING WAY, STOCKTON, CA 95204-6110
(888) 530-4415
Mailing address
582 E HARDING WAY, STOCKTON, CA 95204-6110
(888) 530-4415
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
95013402
CA
363LF0000X
Family Nurse Practitioner
Primary
95013402
CA
363LG0600X
Gerontology Nurse Practitioner
95013402
CA
Other
Enumeration date
03/22/2019
Last updated
09/17/2023
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