MICHELLE LAKE NPI 1033838826

NPI Information

  • NPI: 1033838826
  • Provider Name: MICHELLE LAKE
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1236 E RUSHOLME ST STE 300
    DAVENPORT, IA
    ZIP 52803
  • Phone: (800) 382-0707

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NPI Details

Michelle Lake is an acute care nurse practitioner in Davenport, IA with 4 years of experience. Michelle Lake NPI is 1033838826. 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:

1236 E RUSHOLME ST STE 300
DAVENPORT, IA
ZIP 52803-484
Phone: (800) 382-0707

The NPI 1033838826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2022 and was last updated on 7/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse041439972ILLINOISNo
2163W00000XRegistered Nurse141908IOWANo
3363LA2100XNurse PractitionerAcute CareH171781IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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