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

Donald Lake, FNP-C

Individual provider Family Nurse Practitioner · NPI 1871014944

Donald Lake, FNP-C is a Nurse Practitioner in Port Huron, Michigan. Qualified in 2017, 9 years ago. Practices with McLaren Port Huron, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1221 Pine Grove Ave McIaren Port Huron
Port Huron, MI 48060
Phone: (810) 987-5000
Fax: (810) 985-2669
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704210937 (MI)

Record details

NPI number1871014944
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice McLaren Port Huron — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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