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Danielle Lake
Student in an Organized Health Care Education/Training Program in White Bear Lake, Minnesota
NPI 1457128472

Danielle Lake is a Student in an Organized Health Care Education/Training Program based in White Bear Lake, MN. Danielle Lake practices in White Bear Lake, MN. The NPI Number for Danielle Lake is 1457128472 and holds a License No. (Minnesota).

The current practice location address for Danielle Lake is 4756 Banning Ave Ste 210, White Bear Lake, MN and can be reached out via phone at 612-454-1656.

Location: 4756 Banning Ave Ste 210, White Bear Lake, MN, 55110-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457128472
Provider Name
Danielle Lake
Credential
Provider Entity Type
Individual
Gender
Female
Address
4756 Banning Ave Ste 210, White Bear Lake, MN, 55110-5515
Phone Number
612-454-1656
Fax Number
Provider Enumeration Date
12/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4756 Banning Ave Ste 210
City
White Bear Lake
State
Minnesota
Zip
55110-3206
Phone Number
612-454-1656
Fax Number
person
Provider Business Mailing Address Details
Address
4756 Banning Ave Ste 210
City
White Bear Lake
State
Minnesota
Zip
55110-3206
Phone Number
612-454-1656
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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