| Shan Lake, RN | |
|
7922 Palm St, Lemon Grove, CA 91945-2956 | |
| (619) 464-3488 | |
| (619) 464-3416 |
| Full Name | Shan Lake |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 7922 Palm St, Lemon Grove, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952486078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 382779 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shan Lake, RN 8538 Villa La Jolla Dr Apt 183, La Jolla, CA 92037-2322 Ph: () - | Shan Lake, RN 7922 Palm St, Lemon Grove, CA 91945-2956 Ph: (619) 464-3488 |
Robin Drake, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-464-3488 Fax: 619-464-3416 | |
Ms. Julie Ann Woodside Hendrickson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 Fax: 619-466-4672 | |
Anthony Arellano, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-464-3488 Fax: 619-464-3416 | |
Maryan Yusuf, Registered Nurse Medicare: Medicare Enrolled Practice Location: 8168 Hawkins Pl, Lemon Grove, CA 91945 Phone: 619-248-6884 |