Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Lake, LPN

Individual provider Licensed Practical Nurse · NPI 1053905471

Andrew Lake, LPN is a Licensed Practical Nurse in Columbia Heights, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

4312 Quincy St NE
Columbia Heights, MN 55421-2943
Phone: (763) 781-5804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 791526 (MN)

Record details

NPI number1053905471
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorYes
NPI enumeratedFebruary 25, 2021
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

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