Individual provider · Type 1 NPI

Danielle Lake

Student in an Organized Health Care Education/Training Program · White Bear Lake, MN

NPI number 1457128472 Active

Practice location

4756 Banning Ave Ste 210
White Bear Lake, MN 55110-3206

Call (612) 454-1656 Map

Mailing address

3554 Mcknight Rd N
White Bear Lake, MN 55110-5515

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6 other providers at this address

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About NPI 1457128472

Danielle Lake's National Provider Identifier is 1457128472, issued on Dec 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 11, 2023.