Individual provider · Type 1 NPI

Lacey Darlene Lake Foreman, CRNP

Nurse Practitioner · Golden Valley, MN

NPI number 1922510635 Active

Practice location

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754

Mailing address

2843 State Route 31
Acme, PA 15610-1371

Other practice locations

  • 2263 Eastridge Ctr, Eau Claire, WI 54701-3410 · (715) 800-0900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X17742-33 (WI)
Nurse Practitioner 363L00000XSP018060 (PA)
Nurse Practitioner Primary 363L00000X13651 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1922510635

Lacey Darlene Lake Foreman, CRNP's National Provider Identifier is 1922510635, issued on Nov 3, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Golden Valley, MN. The record was last updated on Dec 9, 2025.