Search › Minnesota › 207Q00000X
Mikaela Lake, DO
NPI 1437848439 · on the registry since 2023
Practice
- Address
- 101 Martin Luther King Jr Dr
Mankato, MN 56001 - Phone
- (507) 594-6500
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota