Individual provider · Type 1 NPI

Michelle Lake

Acute Care Nurse Practitioner · Davenport, IA

NPI number 1033838826 Active

Practice location

1236 E Rusholme St Ste 300
Davenport, IA 52803-2484

Mailing address

11 Westwood Dr
Geneseo, IL 61254-9584

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041439972 (IL)
Registered Nurse 163W00000X141908 (IA)
Acute Care Nurse Practitioner Primary 363LA2100XH171781 (IA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1033838826

Michelle Lake's National Provider Identifier is 1033838826, issued on Aug 24, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Davenport, IA. The record was last updated on Jul 13, 2023.