Back to Search
JONATHAN LAKE, PAC
PAC
Surgical Physician Assistant
NPI: 1346283801IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician Assistant
Physician Assistant
Code: 363A00000X
103630(NC)
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
103630(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Class of 2002
Contact & Hours
- Address
- 225 BALDWIN AVE
CHARLOTTE, NC 28204 - Phone
- (704) 376-1605
Quick Facts
- NPI
- 1346283801
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 24
Are you this provider?
Claim Your Profile