NPI 1003964024

Kenneth B Lake, CRNA

Practitioner Certified Registered Nurse Anesthetist Delta, CO

Practice location

Address: 1501 E 3rd St, Delta, CO 81416-2815
Phone: (970) 874-7681
Mailing address: PO Box 10100, Delta, CO 81416-0008

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APN.0997653-CRNA (CO)

Other Nurse Anesthetist, Certified Registered providers in Colorado →

Registry record

NPI: 1003964024
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2007
Record last updated: 5 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.