Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW LAKE, LPN
Active Sole ProprietorANDREW LAKE, LPN is a Licensed Practical Nurse healthcare provider located in COLUMBIA HEIGHTS, Minnesota. NPI 1053905471 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · COLUMBIA HEIGHTS, MN
Registration Details
- NPI Number
- 1053905471
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2021 (5.4515258429916 yrs)
- Last Updated
- Feb 25, 2021
- License
-
791526 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4129 5TH ST NECOLUMBIA HEIGHTS, MN, 554212859Browse MN providers · Browse ZIP 55421
- Phone
- 7637815804
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in COLUMBIA HEIGHTS, MN
| Name | Credential | NPI |
|---|---|---|
| RUKIA YUSSUF SHARIF-ISAACK | — | 1710855994 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.