Individual
MORGAN ELLYSE LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 LIPPINCOTT DR STE 130, MARLTON, NJ 08053-4161
(856) 596-2233
Mailing address
400 LIPPINCOTT DR STE 130, MARLTON, NJ 08053-4194
(856) 596-2233
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
26NJ15420400
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
SP033565
PA
Other
Enumeration date
08/30/2025
Last updated
10/29/2025
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