Katherine Hailey Lake is a student in an organized health care education training program in Minnetonka, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Katherine Hailey Lake NPI is 1023624483. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
16415 TEMPLE DR
MINNETONKA, MN
ZIP 55345-431
Phone: (612) 508-2123
The enumeration date for this NPI number is 9/21/2020 and was last updated on 9/21/2020.