Lake, Jared R.

Lake, Jared R. is an individual health care provider with primary practice located at 5121 Cottonwood St , Murray UT 84107-5701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lake, Jared R. can be contacted via phone (801) 507-5248.

Contact Information

Primary practice address
5121 Cottonwood St Murray UT 84107-5701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7890667-1205 Utah

Profile Details

NPI number 1720286255
LBN Legal business name Lake, Jared R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Dec 5th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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