Individual provider · Type 1 NPI

Melissa Marie Lake, CRNA

Certified Registered Nurse Anesthetist · St. Louis Park, MN

NPI number 1275961682 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-5222 Map

Mailing address

6055 Westbrook Rd
Golden Valley, MN 55422-3335

Other practice locations

800 E 28th St, Minneapolis, MN 55407-3723 · (612) 863-4000
2855 Campus Dr, Plymouth, MN 55441-2649 · (763) 577-7240

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist	367500000X	198 (MN)
Certified Registered Nurse Anesthetist Primary	367500000X	7365 (NC)

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 1275961682

Melissa Marie Lake, CRNA's National Provider Identifier is 1275961682, issued on Oct 22, 2013. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis Park, MN. The record was last updated on Sep 27, 2024.