Individual provider · Type 1 NPI
Andrew Lake, LPN
Licensed Practical Nurse · Columbia Heights, MN
NPI number
1053905471
Active
Practice location
4312 Quincy St NE
Columbia Heights, MN 55421-2943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 791526 (MN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Other licensed practical nurse providers in Columbia Heights
About NPI 1053905471
Andrew Lake, LPN's National Provider Identifier is 1053905471, issued on Feb 25, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbia Heights, MN. The record was last updated on Mar 16, 2026.