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Jonathan L Lake, PAC
Surgical Physician Assistant in Charlotte, North Carolina
NPI 1346283801

Jonathan L Lake is a Surgical Physician Assistant based in Charlotte, NC and is specialized in Surgical. Jonathan L Lake practices in Charlotte, NC and has the professional credentials of PAC. The NPI Number for Jonathan L Lake is 1346283801 and holds a License No. 103630 (North Carolina).

The current practice location address for Jonathan L Lake is 225 Baldwin Ave, Charlotte, NC and can be reached out via phone at 704-376-1605 and via fax at 704-335-8448.

Location: 225 Baldwin Ave, Charlotte, NC, 28204-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346283801
Provider Name
Jonathan L Lake
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
225 Baldwin Ave, Charlotte, NC, 28204-3109
Phone Number
704-376-1605
Fax Number
704-335-8448
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00344444 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
225 Baldwin Ave
City
Charlotte
State
North Carolina
Zip
28204-3109
Phone Number
704-376-1605
Fax Number
704-335-8448
person
Provider Business Mailing Address Details
Address
225 Baldwin Ave
City
Charlotte
State
North Carolina
Zip
28204-3109
Phone Number
704-376-1605
Fax Number
704-335-8448
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
103630 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
103630 (North Carolina)
Definition
Definition to come...
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