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

Lacey Darlene Lake Foreman, CRNP

Individual provider Nurse Practitioner · NPI 1922510635

Lacey Darlene Lake Foreman, CRNP is a Nurse Practitioner in Golden Valley, Minnesota. Qualified in 2017, 9 years ago. Practices with Ars Treatment Centers PC, a 107-clinician group and works from 2 locations. Licensed in Minnesota, Pennsylvania and Wisconsin.

Years since qualifying
9
Licensed in
MN, PA, WI
In the registry since
2017
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

820 Lilac Dr N Ste 210
Golden Valley, MN 55422-4754
Phone: (763) 205-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2263 Eastridge Ctr, Eau Claire, WI 54701-3410 — (715) 800-0900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13651 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 17742-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence SP018060 (PA)

Record details

NPI number1922510635
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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 Ars Treatment Centers Pc — 107 clinicians
Accepts Medicare assignment Not indicated

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