Individual provider · Type 1 NPI

Jessica A. Lake, MD

Pediatric Hematology & Oncology Physician · Aurora, CO

NPI number 1174866958 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Hematology & Oncology Physician Primary 2080P0207XDR.0057022 (CO)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1174866958

Jessica A. Lake, MD's National Provider Identifier is 1174866958, issued on Mar 31, 2013. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Aurora, CO. The record was last updated on Oct 29, 2021.