Individual
MRS. ASHLEY L LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
257 US HIGHWAY 22, GREEN BROOK, NJ 08812-1807
(732) 968-7878
Mailing address
257 US HIGHWAY 22, GREEN BROOK, NJ 08812-1807
(908) 672-6296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15120900
NJ
Other
Enumeration date
08/23/2024
Last updated
12/08/2024
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