Lake, Michelle

Lake, Michelle is an individual health care provider with primary practice located at 1236 E Rusholme St Ste 300 , Davenport IA 52803-2484. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lake, Michelle can be contacted via phone (800) 382-0707.

Contact Information

Primary practice address
1236 E Rusholme St Ste 300 Davenport IA 52803-2484
Phone: (800) 382-0707
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041439972 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 141908 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H171781 Iowa

Profile Details

NPI number 1033838826
LBN Legal business name Lake, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2022
Last updated Jul 13th, 2023 - 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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