person
Katherine Hailey Lake
Student in an Organized Health Care Education/Training Program in Minnetonka, Minnesota
NPI 1023624483

Katherine Hailey Lake is a Student in an Organized Health Care Education/Training Program based in Minnetonka, MN. Katherine Hailey Lake practices in Minnetonka, MN. The NPI Number for Katherine Hailey Lake is 1023624483 and holds a License No. (Minnesota).

The current practice location address for Katherine Hailey Lake is 16415 Temple Dr, Minnetonka, MN and can be reached out via phone at 612-508-2123.

Location: 16415 Temple Dr, Minnetonka, MN, 55345-3431
person
Provider Profile Details
NPI Number
1023624483
Provider Name
Katherine Hailey Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
16415 Temple Dr, Minnetonka, MN, 55345-3431
Phone Number
612-508-2123
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16415 Temple Dr
City
State
Zip
55345-3431
Phone Number
612-508-2123
Fax Number
person
Provider Business Mailing Address Details
Address
16415 Temple Dr
City
State
Zip
55345-3431
Phone Number
612-508-2123
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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