DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER A LAKE, MD

Active

JENNIFER A LAKE, MD is a Family Medicine healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1245205301 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1245205301
Provider Type
Individual
Gender
Female
NPI Issued
Feb 22, 2006 (20.471264248804 yrs)
Last Updated
Dec 8, 2015
License
44657 (MN)

Practice Information

Address
4422 WHITE BEAR AVE N
WHITE BEAR LAKE, MN, 551103475
Browse MN providers · Browse ZIP 55110
Phone
6512878780
Fax
6512878786
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WHITE BEAR LAKE, MN

Name Credential NPI
DR. MARY M PAQUETTE MD 1598766875
DR. PAUL J SPENCER D.O. 1376544650
GREGORY D STEEBER MD 1306811021
DR. DANIELLE R PERRY RAMIREZ MD 1992772354
LAURA LENEE SLINGS MD 1831158781
DR. TERESA A PENA MD 1720030083
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.