Michael Lake is a Saint Louis, Missouri based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Michael Lake is 066594 for Anesthesia Administration in Missouri. his current practice location is 2345 Dougherty Ferry Rd, Saint Louis. Patients can reach him at 314-821-5850. Michael Lake is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1710968573. Michael Lake is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Michael Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
2345 Dougherty Ferry Rd, Saint Louis, Missouri, 63122-3313
Phone:
314-821-5850
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710968573
NPI Enumeration Date:
09 Nov, 2005
NPI Last Update On:
25 Jul, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Lake are as mentioned below.
License Number
Specialization
State
Status
066594
Anesthesia Administration
Missouri
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
916826654
Medicaid
Missouri
430064322
Other
Missouri
RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13523 Barrett Parkway Dr, Suite 210 Ballwin, Missouri
Zip:
63021-3802
Phone Number:
314-775-2816
Fax Number:
314-775-2821
Patients can reach Michael Lake at 2345 Dougherty Ferry Rd, Saint Louis, Missouri or can call to book an appointment on 314-821-5850.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.