IndividualActive
Abbey Lake, RD, CNSC
NPI 1649078148 · Registered Dietitian · Stockton, CA
Provider details
- NPI number
- 1649078148
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CNSC
- Sex
- Female
- Sole proprietor
- No
- License
- 86154604 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1800 N California St
Stockton, CA 95204-6019
Phone: (209) 467-2505
Approximate (ZIP-level) locationGet directions
Mailing address
11860 Clay Station Rd
Herald, CA 95638-9773
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.