Individual
LAUREN-ALYSSA WAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 3RD ST SE, MINOT, ND 58701-4470
(701) 857-2360
(701) 857-2187
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17053
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
09/23/2025
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