Search › Arizona › 207XX0004X
Jason Lake, MD
NPI 1205051430 · on the registry since 2007
Practice
- Address
- 2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234 - Phone
- (480) 964-2908
- Fax
- (480) 833-2136
- Organisation at this address
- Dynamic Rehab
Mezona Orthopaedic Pa
Osna Primary Care, Llc
Bhsm Rehabilitation, Llc
Mezona Orthopaedic, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 121
Additional practice sites
- 1675 E Melrose St Ste 101-103, Gilbert, AZ
Registry record
- Primary taxonomy
- 207XX0004X
207XX0004X
- Also registered as
- 207X00000X
207X00000X
207X00000X - Licence states on file
- OH, AZ, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona