Individual provider · Type 1 NPI

Jennifer Michelle Lage

Specialist · Waite Park, MN

NPI number 1720735640 Active

Practice location

423 Great Oak Dr
Waite Park, MN 56387-2507

Call (320) 281-5305 Map

Fax (320) 281-5306

Mailing address

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1720735640

Jennifer Michelle Lage's National Provider Identifier is 1720735640, issued on Mar 10, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Waite Park, MN. The record was last updated on Mar 10, 2022.