Lake, Jason Edward

Lake, Jason Edward is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200-250 , Gilbert AZ 85234-2168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Lake, Jason Edward can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Ste 200-250 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 19568 Mississippi
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35. 093195 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 42724 Arizona
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 42724 Arizona

Profile Details

NPI number 1205051430
LBN Legal business name Lake, Jason Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2007
Last updated Jul 25th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205051430 NPPES
Arizona Other 3Z5372 HEALTHNET

Popular Providers