Danielle Lake
Danielle Lake is a Student in an Organized Health Care Education/Training Program in White Bear Lake, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4756 Banning Ave Ste 210White Bear Lake, MN 55110-3206
Phone: (612) 454-1656
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1457128472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | December 11, 2023 |
| Certification date | December 9, 2023 |
| Mailing address | 3554 McKnight Rd N, White Bear Lake, MN 55110-5515 |
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