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Andrew Lake, LPN
Licensed Practical Nurse in Columbia Heights, Minnesota
NPI 1053905471

Andrew Lake is a Licensed Practical Nurse based in Columbia Heights, MN. Andrew Lake practices in Columbia Heights, MN and has the professional credentials of LPN. The NPI Number for Andrew Lake is 1053905471 and holds a License No. 791526 (Minnesota).

The current practice location address for Andrew Lake is 4129 5Th St Ne, Columbia Heights, MN and can be reached out via phone at 763-781-5804.

Location: 4129 5Th St Ne, Columbia Heights, MN, 55421-2859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053905471
Provider Name
Andrew Lake
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
4129 5Th St Ne, Columbia Heights, MN, 55421-2859
Phone Number
763-781-5804
Fax Number
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4129 5Th St Ne
City
Columbia Heights
State
Minnesota
Zip
55421-2859
Phone Number
763-781-5804
Fax Number
person
Provider Business Mailing Address Details
Address
4129 5Th St Ne
City
Columbia Heights
State
Minnesota
Zip
55421-2859
Phone Number
763-781-5804
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
791526 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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