Jason Edward Lake in Phoenix - Foot And Ankle Surgery
Jason Edward Lake - NPI 1205051430
Jason Edward Lake is a Foot And Ankle Surgery in Phoenix, Arizona. Jason Edward Lake practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for Jason Edward Lake is 1205051430. The last update date is 2022-07-25.
Jason Edward Lake's current location address is Po Box 80217, Phoenix, Arizona. You can contact this provider via phone number 6023852115 and fax number 4804183323. The mailing address for Jason Edward Lake is Po Box 80217, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Edward Lake |
|---|---|
| Address | Po Box 80217, Phoenix, Arizona |
| Phone Number | 6023852115 |
| Fax Number | 4804183323 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205051430 |
|---|---|
| Provider Enumeration Date | 2007-04-14 |
| Last Updated Date | 2022-07-25 |
Provider Mailing Address Detail
| Address | Po Box 80217 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850600217 |
| Phone Number | 6023852115 |
| Fax Number | 4804183323 |
Provider's Primary Taxonomy Detail
| Speciality | Foot And Ankle Surgery |
|---|---|
| Taxonomy | 207Xx0004X |
| Licence No | 42724 |
|
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3Z5372 | AZ | HEALTHNET |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jason Edward Lake by the Centers for Medicare & Medicaid Services?
The Jason Edward Lake has been assigned the NPI (National Provider Identifier) 1205051430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jason Edward Lake's facilities are situated?
The facilities of Jason Edward Lake are physically located at the following address: Po Box 80217, Phoenix, AZ, 850600217.
What is Jason Edward Lake's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Edward Lake's specialized field of practice is Foot And Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0004X.
When did Jason Edward Lake receive its 1205051430 assignment?
The Jason Edward Lake was assigned its 1205051430 on 2007-04-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jason Edward Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Edward Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-25.
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