JACK LAKE, PA-C

PA-C

Physician Assistant

NPI: 1427069889Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA10001841(WA)

Contact & Hours

Address: 2748 MILTON WAY, STE 101
MILTON, WA 98354
Phone: (253) 922-5262

Quick Facts

NPI: 1427069889
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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