Individual provider · Type 1 NPI

Harold J. Lake Jr., PA-C

Medical Physician Assistant · Traverse City, MI

NPI number 1598098824 Active

Practice location

1105 Sixth St
Traverse City, MI 49684-2345

Call (231) 935-8686 Map

Fax (231) 935-8707

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601005633 (MI)
Medical Physician Assistant Primary 363AM0700X5601005633 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1598098824

Harold J. Lake Jr., PA-C's National Provider Identifier is 1598098824, issued on Sep 18, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Traverse City, MI. The record was last updated on Dec 13, 2021.