Lake, Danielle

Lake, Danielle is an individual health care provider with primary practice located at 4756 Banning Ave Ste 210 , White Bear Lake MN 55110-3206. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lake, Danielle can be contacted via phone (612) 454-1656.

Contact Information

Primary practice address
4756 Banning Ave Ste 210 White Bear Lake MN 55110-3206
Phone: (612) 454-1656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1457128472
LBN Legal business name Lake, Danielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2023
Last updated Dec 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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