Individual provider · Type 1 NPI

Brandy Lynnette Lake, FNP-C

Acute Care Nurse Practitioner · Marshall, MO

NPI number 1790621787 Active

About NPI 1790621787

Brandy Lynnette Lake, FNP-C's National Provider Identifier is 1790621787, issued on Apr 24, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Marshall, MO. The record was last updated on Apr 24, 2026.