person
Donald Lake, FNP-C
Family Nurse Practitioner in Port Huron, Michigan
NPI 1871014944

Donald Lake is a Family Nurse Practitioner based in Port Huron, MI and is specialized in Family. Donald Lake practices in Port Huron, MI and has the professional credentials of FNP-C. The NPI Number for Donald Lake is 1871014944 and holds a License No. 4704210937 (Michigan).

The current practice location address for Donald Lake is 1221 Pine Grove Ave, Port Huron, MI and can be reached out via phone at 810-987-5000 and via fax at 810-985-2669.

Location: 1221 Pine Grove Ave, Port Huron, MI, 48060
person
Provider Profile Details
NPI Number
1871014944
Provider Name
Donald Lake
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1221 Pine Grove Ave, Port Huron, MI, 48060
Phone Number
810-987-5000
Fax Number
810-985-2669
Provider Enumeration Date
06/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1221 Pine Grove Ave
City
State
Zip
48060
Phone Number
810-987-5000
Fax Number
810-985-2669
person
Provider Business Mailing Address Details
Address
1221 Pine Grove Ave
City
State
Zip
48060
Phone Number
810-987-5000
Fax Number
810-985-2669
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704210937 (Michigan)
Definition
Definition to come...
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