Individual provider · Type 1 NPI

Kenneth B. Lake, CRNA

Certified Registered Nurse Anesthetist · Delta, CO

NPI number 1003964024 Active

Practice location

1501 E 3rd St
Delta, CO 81416-2815

Mailing address

PO Box 10100
Delta, CO 81416-0008

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XAPN.0997653-CRNA (CO)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1003964024

Kenneth B. Lake, CRNA's National Provider Identifier is 1003964024, issued on Jan 8, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Delta, CO. The record was last updated on Jun 5, 2026.