Jack F Lake is a Physician Assistant in Milton, Washington. Jack F Lake practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jack F Lake is 1427069889. The last update date is 2010-11-16.
Jack F Lake's current location address is 2748 Milton Way, Milton, Washington. You can contact this provider via phone number 2539225262 and fax number 2539225299. The mailing address for Jack F Lake is 2748 Milton Way, Milton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack F Lake |
|---|---|
| Address | 2748 Milton Way, Milton, Washington |
| Phone Number | 2539225262 |
| Fax Number | 2539225299 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1427069889 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2010-11-16 |
Provider Mailing Address Detail
| Address | 2748 Milton Way |
|---|---|
| City | Milton |
| State | Washington (WA) |
| Post Code | 983549382 |
| Phone Number | 2539225262 |
| Fax Number | 2539225299 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10001841 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00153517 | WA | RAILROAD | |
| 186925 | WA | STATE L&I | |
| 8940030 | WA | STATE CRIME VICTIMS | |
| 8401788 | WA | -- |
Post Comment/ Review Below
What is the Jack F Lake's unique identification number?
The Jack F Lake has been assigned the NPI (National Provider Identifier) Number 1427069889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Jack F Lake's area of specialization and corresponding taxonomy classification?
The Jack F Lake's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Jack F Lake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack F Lake is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Jack F Lake receive its 1427069889 assignment from the Centers for Medicare & Medicaid Services?
The Jack F Lake was assigned its 1427069889 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the Jack F Lake's details last updated?
The information pertaining to the Jack F Lake, including its address, specialty, and other details, was most recently updated on 2010-11-16.