Individual provider · Type 1 NPI

Jon M. Lake, MD

Family Medicine Physician · Jackson, MI

NPI number 1376561696 Active

Practice location

400 Hinckley Blvd, Suite 100
Jackson, MI 49203-6125

Call (517) 784-0588 Map

Fax (517) 784-3866

Mailing address

PO Box 67000, Department 272801
Detroit, MI 48267-0002

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4301068180 (MI)

Family Medicine Physician: 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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About NPI 1376561696

Jon M. Lake, MD's National Provider Identifier is 1376561696, issued on Jul 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Jackson, MI. The record was last updated on Feb 17, 2021.