Danielle Lake

NPI #1457128472 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1457128472
Entity Type: Individual
Name: Danielle Lake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 4756 BANNING AVE STE 210
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3206
Phone: (612) 454-1656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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