Jonathan L Lake is a Surgical in Charlotte, North Carolina. Jonathan L Lake practices all healthcare services and medical treatments related to Surgical. 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 |
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Address | 225 Baldwin Ave, Charlotte, North Carolina |
Phone Number | 7043761605 |
Fax Number | 7043358448 |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1346283801 |
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Provider Enumeration Date | 2006-06-13 |
Last Updated Date | 2020-12-22 |
Provider Mailing Address Detail
Address | 225 Baldwin Ave |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 282043109 |
Phone Number | 7043761605 |
Fax Number | 7043358448 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 103630 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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 Surgical, and it falls under the taxonomy code 363As0400X, 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.