ANDREW LAKE

COLUMBIA HEIGHTS, MN
NPI1053905471
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  791526)
Enumeration Date2021-02-25
Last Update Date2021-02-25
Business Address
ANDREW LAKE LPN
4129 5TH ST NE
COLUMBIA HEIGHTS, MN 55421-2859
Phone number: 763-781-5804
Mailing Address
ANDREW LAKE LPN
4129 5TH ST NE
COLUMBIA HEIGHTS, MN 55421-2859
Phone number: 763-781-5804