Lake, Donald

Lake, Donald is an individual health care provider with primary practice located at 1221 Pine Grove Ave Mciaren Port Huron, Port Huron MI 48060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lake, Donald can be contacted via phone (810) 987-5000.

Contact Information

Primary practice address
1221 Pine Grove Ave Mciaren Port Huron Port Huron MI 48060
Phone: (810) 987-5000
Fax: (810) 985-2669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704210937 Michigan

Profile Details

NPI number 1871014944
LBN Legal business name Lake, Donald
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Jul 21st, 2022 - about 2 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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