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LAKE MEDICAL, PLLC
NPI 1780425546
Nurse Practitioner - Family in Bottineau, ND

Active since June 05, 2024
1475 108TH ST NE, BOTTINEAU, ND 58318(701) 228-4226 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE MEDICAL, PLLC (NPI 1780425546) is a healthcare organization registered as a family in Bottineau, North Dakota and active in the NPI registry since June 2024. The organization lists Jana Knutson, Owner, as its authorized official.

NPPES Registry Identity

NPI1780425546
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLAKE MEDICAL, PLLC
Location Address1475 108TH ST NEBottineau, ND 58318-8026
Mailing Address1475 108th St NeBottineau, ND 58318-8026 · (701) 228-4226
Phone(701) 228-4226
Organization SubpartNo
Authorized OfficialJana KnutsonOwner · (701) 228-4226
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1780425546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1475 108TH ST NE, Bottineau, ND 58318
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Medical, PLLC's NPI number?

The NPI number for Lake Medical, PLLC is 1780425546. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Lake Medical, PLLC located?

Lake Medical, PLLC is located at 1475 108th St NE, Bottineau, ND 58318. The listed phone number is (701) 228-4226.

What is Lake Medical, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lake Medical, PLLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.