JACK F LAKE PA-C
NPI 1427069889
Physician Assistant in Milton, WA

Active since August 11, 2006
2748 MILTON WAY, STE 101, MILTON, WA 98354(253) 922-5262(253) 922-5299 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack F Lake Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK F LAKE PA-C (NPI 1427069889) is an individual physician assistant in Milton, Washington, licensed in Washington (PA10001841) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1427069889
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK F LAKECredential: PA-C
Location Address2748 MILTON WAY, STE 101Milton, WA 98354-9382
Mailing Address2748 Milton Way, Ste 101Milton, WA 98354-9382 · (253) 922-5262 · Fax (253) 922-5299
Fax(253) 922-5299
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateNovember 16, 2010
NPI 1427069889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10001841
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2748 MILTON WAY, Milton, WA 98354

Other Identifiers 6

Other8940030WA · State Crime Victims
OtherP00153517WA · Railroad
Other0186925WA · State L&i
Medicaid8401788WA
Medicare UPINS50177
Medicare PING8807175WA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
2748 MILTON WAY, SUITE 211
MILTON, WA 98354
Massage Therapist
2748 MILTON WAY, SUITE 211
MILTON, WA 98354
Specialist
2748 MILTON WAY, SUITE 211
MILTON, WA 98354
Family Medicine
2748 MILTON WAY, STE 101
MILTON, WA 98354
Massage Therapist
2748 MILTON WAY, SUITE # 211
MILTON, WA 98354
Nurse Practitioner (Family)
2748 MILTON WAY, STE 101
MILTON, WA 98354
Clinic/Center (Physical Therapy)
2748 MILTON WAY, STE #207
MILTON, WA 98354
Chiropractor
2748 MILTON WAY, STE 211
MILTON, WA 98354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Lake's NPI number?

The NPI number for Jack Lake is 1427069889. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jack Lake located?

Jack Lake practices at 2748 Milton Way Ste 101, Milton, WA 98354. The listed phone number is (253) 922-5262.

What is Jack Lake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jack Lake was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.