Jonathan L Lake in Charlotte - Physician Assistant
Jonathan L Lake - NPI 1346283801
Jonathan L Lake is a Physician Assistant in Charlotte, North Carolina. Jonathan L Lake practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jonathan L Lake is 1346283801. The last update date is 2020-12-22.
Jonathan L Lake's current location address is 225 Baldwin Ave, Charlotte, North Carolina. You can contact this provider via phone number 7043761605 and fax number 7043358448. The mailing address for Jonathan L Lake is 225 Baldwin Ave, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan L Lake |
|---|---|
| Address | 225 Baldwin Ave, Charlotte, North Carolina |
| Phone Number | 7043761605 |
| Fax Number | 7043358448 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1346283801 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2020-12-22 |
Provider Mailing Address Detail
| Address | 225 Baldwin Ave |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282043109 |
| Phone Number | 7043761605 |
| Fax Number | 7043358448 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103630 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00344444 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jonathan L Lake by the Centers for Medicare & Medicaid Services?
The Jonathan L Lake has been issued the NPI (National Provider Identifier) 1346283801, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jonathan L Lake's facilities are geographically located?
The facilities of Jonathan L Lake are physically situated at the following location: 225 Baldwin Ave, Charlotte, NC, 282043109.
What is Jonathan L Lake's area of expertise and its corresponding taxonomy classification?
The Jonathan L Lake's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jonathan L Lake receive its 1346283801 assignment from the Centers for Medicare & Medicaid Services?
The Jonathan L Lake was assigned its 1346283801 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jonathan L Lake's details last updated?
The information pertaining to the Jonathan L Lake, including its address, specialty, and other details, was most recently updated on 2020-12-22.