Individual
ERIN LYNN LAKE
Active
Individual
ERIN LYNN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CPN.022202
OH
363LF0000X
Family Nurse Practitioner
CNP 4623
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477008092
—
MN
Enumeration date
08/24/2016
Last updated
06/13/2018
Update your record
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