Lake Medical, PLLC
Organization Active NPI Family Nurse Practitioner · Bottineau, ND
NPI 1780425546 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1780425546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- LAKE MEDICAL, PLLC
- Practice address
- 1475 108TH St NE
Bottineau, ND 58318-8026 - Phone
- (701) 228-4226
- NPI assigned
- Jun 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Jana Knutson, FNP-BC
- Title
- Owner
- Phone
- (701) 228-4226
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1475 108TH St NE
Bottineau, ND 58318-8026
Mailing address
1475 108TH St NE
Bottineau, ND 58318-8026
Phone (701) 228-4226
Other providers in Bottineau, ND
- Rebekah Klebe
- Mark E Koivula
- Dasean Kyser
- Samantha Jean Laframboise
- Kayla Marie Lagerquist
- Tracy L Larson
- Liebold Dental PLLC
- David Allan Liebold
- Victoria Lynn Lorenz
- Michael George Mack
All providers in Bottineau, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.