Andrew Lake, LPN
NPI #1053905471 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1053905471
- Entity Type
- Individual
- Name
- Andrew Lake, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 4129 5TH ST NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-2859
- Phone
- (763) 781-5804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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