JON LAKE, M.D.
Family Medicine
Active
Individual
NPI: 1376561696
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 4301068180 (MI) |
Frequently Asked Questions
NPI 1376561696 is the National Provider Identifier for JON LAKE, M.D., a Family Medicine provider located in Jackson, MI. This NPI was enumerated on July 17, 2006.
JON LAKE, M.D. practices at 400 HINCKLEY BLVD, SUITE 100, Jackson, MI 49203.
Quick Facts
- NPI
- 1376561696
- Type
- Individual
- Enumerated
- Jul 17, 2006
- Last Updated
- Feb 17, 2021
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