Individual provider · Type 1 NPI
Jonathan L. Lake, PAC
Surgical Physician Assistant · Charlotte, NC
NPI number
1346283801
Active
Practice location
225 Baldwin Ave
Charlotte, NC 28204-3109
Fax (704) 335-8448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 103630 (NC) |
| Surgical Physician Assistant Primary | 363AS0400X | 103630 (NC) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Charlotte
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- Kao Nu Ly, PA-CSurgical Physician Assistant Charlotte, NC NPI 1073560280
- Michael A. Marconi, OPASurgical Physician Assistant Charlotte, NC NPI 1073879060
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- Mackenzie Steen, PA-CSurgical Physician Assistant Charlotte, NC NPI 1124593462
- Deidra L. Whalen, OPA-CSurgical Physician Assistant Charlotte, NC NPI 1134253586
About NPI 1346283801
Jonathan L. Lake, PAC's National Provider Identifier is 1346283801, issued on Jun 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlotte, NC. The record was last updated on Aug 6, 2025.