Jack F. Lake, PA-C
Physician Assistant · Milton, WA
UnclaimedPA-CNPI 1427069889
- Primary taxonomy
- 363A00000X
- Enumerated
- 2006-08-11
- Practice location
- Milton, WA
- Last NPPES update
- 2010-11-16
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Osteopathic Physician Assistant LicenseExpiredthrough 2015
- WA · Physician assistant · Physician Assistant LicenseExpiredthrough 2018
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.