Lake, Jon P

Lake, Jon P is an individual health care provider with primary practice located at 12601 Garden Grove Blvd , Garden Grove CA 92843-1908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Lake, Jon P can be contacted via phone (714) 741-2765.

Contact Information

Primary practice address
12601 Garden Grove Blvd Garden Grove CA 92843-1908
Phone: (714) 741-2765
Fax: (714) 590-2490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A84772 California
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X A84772 California

Profile Details

NPI number 1295768786
LBN Legal business name Lake, Jon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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