Jack Lake, PA-C

NPI 1427069889 · on the registry since 2006

Practice

Address: 2748 Milton Way
Ste 101
Milton, WA 98354
Phone: (253) 922-5262
Fax: (253) 922-5299
Organisation at this address: Franciscan Medical Group
North Hill Physical Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-11-16

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 Washington