DANIELLE LAKE

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1457128472

Practice Address

4756 BANNING AVE STE 210
White Bear Lake, MN 55110

Phone: (612) 454-1656

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1457128472 is the National Provider Identifier for DANIELLE LAKE, a Student in an Organized Health Care Education/Training Program provider located in White Bear Lake, MN. This NPI was enumerated on December 11, 2023.
DANIELLE LAKE practices at 4756 BANNING AVE STE 210, White Bear Lake, MN 55110.

Quick Facts

NPI
1457128472
Type
Individual
Enumerated
Dec 11, 2023
Last Updated
Dec 11, 2023

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