person
Jennifer A Lake, MD
Family Medicine Physician in White Bear Lake, Minnesota
NPI 1245205301

Jennifer A Lake is a Family Medicine Physician based in White Bear Lake, MN. Jennifer A Lake practices in White Bear Lake, MN and has the professional credentials of MD. The NPI Number for Jennifer A Lake is 1245205301 and holds a License No. 44657 (Minnesota).

The current practice location address for Jennifer A Lake is 4422 White Bear Ave N, White Bear Lake, MN and can be reached out via phone at 651-287-8780 and via fax at 651-287-8786.

Location: 4422 White Bear Ave N, White Bear Lake, MN, 55110-3475
person
Provider Profile Details
NPI Number
1245205301
Provider Name
Jennifer A Lake
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4422 White Bear Ave N, White Bear Lake, MN, 55110-3475
Phone Number
651-287-8780
Fax Number
651-287-8786
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
179001300 05 MN
institution
Provider Business Practice Location Address Details
Address
4422 White Bear Ave N
City
State
Zip
55110-3475
Phone Number
651-287-8780
Fax Number
651-287-8786
person
Provider Business Mailing Address Details
Address
4422 White Bear Ave N
City
State
Zip
55110-3475
Phone Number
651-287-8780
Fax Number
651-287-8786
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
44657 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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