Lake, Susan Heather

Lake, Susan Heather is an sole proprietor health care provider with primary practice located at 1618 Riverside Drive , Trenton NJ 08618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Lake, Susan Heather can be contacted via phone (609) 372-7754.

Contact Information

Primary practice address
1618 Riverside Drive Trenton NJ 08618
Phone: (609) 372-7754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00877500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00877500 New Jersey

Profile Details

NPI number 1790255941
LBN Legal business name Lake, Susan Heather
Credentials AGNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2018
Last updated Nov 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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