Lake Medical, Pllc
NPI #1780425546 in Bottineau, North Dakota
Provider Information
- NPI Number
- 1780425546
- Entity Type
- Organization
- Organization Name
- Lake Medical, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 5, 2024
- Last Updated
- Jun 5, 2024
Practice Location
- Address
- 1475 108TH ST NE
- City
- Bottineau
- State
- North Dakota
- ZIP Code
- 58318-8026
- Phone
- (701) 228-4226
Authorized Official
- Name
- JANA KNUTSON, FNP-BC
- Title
- OWNER
- Phone
- (701) 228-4226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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