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

Individual provider Certified Registered Nurse Anesthetist · NPI 1003964024

Kenneth B Lake, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Delta, Colorado. Qualified in 2005, 21 years ago. Practices with Delta County Memorial Hospital, a 106-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
21
Licensed in
CO
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1501 E 3rd St
Delta, CO 81416-2815
Phone: (970) 874-7681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APN.0997653-CRNA (CO)

Record details

NPI number1003964024
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Delta County Memorial Hospital — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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