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Jon M Lake, MD
Family Medicine Physician in Jackson, Michigan
NPI 1376561696

Jon M Lake is a Family Medicine Physician based in Detroit, MI. Jon M Lake practices in Jackson, MI and has the professional credentials of MD. The NPI Number for Jon M Lake is 1376561696 and holds a License No. 4301068180 (Michigan).

The current practice location address for Jon M Lake is 400 Hinckley Blvd, Jackson, MI and can be reached out via phone at 517-784-0588 and via fax at 517-784-3866.

Location: 400 Hinckley Blvd, Jackson, MI, 48267-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376561696
Provider Name
Jon M Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 Hinckley Blvd, Jackson, MI, 48267-0002
Phone Number
517-784-0588
Fax Number
517-784-3866
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00420975 01 MI RR MEDICARE
80169124 01 MI RR MEDICARE
5187092-10 05 MI
institution
Provider Business Practice Location Address Details
Address
400 Hinckley Blvd
City
Jackson
State
Michigan
Zip
49203-6125
Phone Number
517-784-0588
Fax Number
517-784-3866
person
Provider Business Mailing Address Details
Address
400 Hinckley Blvd
City
Jackson
State
Michigan
Zip
49203-6125
Phone Number
517-784-0588
Fax Number
517-784-3866
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301068180 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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