MELISSA MARIE LAKE

ST LOUIS PARK, MN
NPI1275961682
Former NameMELISSA MARIE POWERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  7365)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  198)
Enumeration Date2013-10-22
Last Update Date2024-09-27
Business Address
Mrs. MELISSA MARIE LAKE CRNA
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 952-993-5222
Mailing Address
Mrs. MELISSA MARIE LAKE CRNA
6055 WESTBROOK RD
GOLDEN VALLEY, MN 55422-3335
Phone number: 773-469-1872