Individual
JOSEPH VEATOR LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(407) 408-3420
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(407) 408-3420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95009801
CA
363LA2100X
Acute Care Nurse Practitioner
AC002434
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95009801
CA
Other
Enumeration date
09/11/2018
Last updated
04/27/2026
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