Jason Edward Lake
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
2940 E Banner Gateway Dr Suite 200
Gilbert
, Arizona 85234-2171
Jason Edward Lake
Orthopaedic Surgeon Foot and Ankle Orthopaedic Surgeon
2940 E Banner Gateway Dr Suite 200
Gilbert
, Arizona 85234-2171
(480) 833-2136
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About
Features
Specialties
- Orthopaedic Surgeon
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jason Edward Lake
- Po Box 271429
- Salt Lake City, UT
- Zip : 84127-1429
- Fax : (480) 833-2136
- Phone : (480) 964-2908
Second Address
- Jason Edward Lake
- 2940 E Banner Gateway Dr Suite 200
- Gilbert, AZ
- Zip : 85234-2171
- Fax : (480) 833-2136
- Phone : (480) 964-2908
Reviews
FAQs
Where did Jason Edward Lake attend graduate school?
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What type of doctor is Jason Edward Lake
In what state does Jason Edward Lake practice in?
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What is Jason Edward Lake ’s gender?
Is Jason Edward Lake a sole practitioner?
Is Jason Edward Lake accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 19568 | MS |
| N | 207X00000X | Orthopaedic Surgeon | 35. 093195 | OH |
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 42724 | AZ |
National Provider Identifier
| NPI | 1205051430 |
|---|---|
| Provider Name | Jason Edward Lake |
| First Address | Salt Lake City, UT 84127-1429 |
| Second Address | Gilbert, AZ 85234-2171 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2007 |
| Last Update Date | 27/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3Z5372 | HEALTHNET (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.