Individual provider · Type 1 NPI
Donald Lake, FNP-C
Family Nurse Practitioner · Port Huron, MI
NPI number
1871014944
Active
Practice location
1221 Pine Grove Ave, Mciaren Port Huron
Port Huron, MI 48060
Fax (810) 985-2669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704210937 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871014944
Donald Lake, FNP-C's National Provider Identifier is 1871014944, issued on Jun 29, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Huron, MI. The record was last updated on Jul 21, 2022.