Jonathan L Lake PAC

  • NPI 1346283801
According to our database, the NPI number for Jonathan L Lake PAC is 1346283801 and activated since 17 years ago. Jonathan L Lake PAC is an individual provider who specializes in Physician Assistant, and the primary practice location is 225 Baldwin Ave, Charlotte, NC 28204. You can also contact Jonathan L Lake PAC via telephone number is (704) 376-1605. Provider NPI information was last updated on 12/22/2020.

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Overview of Jonathan L Lake PAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/13/2006
  • Last updated: 12/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 103630
  • License State: NC

Provider Mailing Address

  • Address: 225 Baldwin Ave
    Charlotte, NC 28204
  • Phone: 704-376-1605
  • Fax: 704-335-8448

Provider Practice Location

  • Address: 225 Baldwin Ave
    Charlotte, NC 28204
  • Phone: 704-376-1605
  • Fax: 704-335-8448

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 103630
  • License State: NC
  • Switch: No

Legacy Identifiers

  • Provider Identifier: P00344444
  • Identifier Type: Other
  • Identifier State:
  • Issuer: RAILROAD MEDICARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jonathan L Lake PAC?
  • A: The npi number for Jonathan L Lake PAC is 1346283801.
  • Q: What are Jonathan L Lake PAC's specialties?
  • A: Jonathan L Lake PAC's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jonathan L Lake PAC?
  • A: The medical license number for Jonathan L Lake PAC is 103630 and issued in NC in USA.
  • Q: Where is Jonathan L Lake PAC practice location?
  • A: Jonathan L Lake PAC is practicing at 225 Baldwin Ave, Charlotte, NC 28204.
  • Q: How to contact Jonathan L Lake PAC?
  • A: You can contact Jonathan L Lake PAC via 704-376-1605.