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Active NPI 1427069889 Individual Practitioner Male Practitioner

Jack F Lake , PA-C

Physician Assistant • Milton, WA

Professional Overview & Biography Verified Profile Summary

Jack Lake, PA-C is a registered healthcare professional specializing in Physician Assistant in Milton, WA. Practice services are available at 2748 MILTON WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2748 Milton Way
Ste 101

Milton, WA 983549382

Telephone 2539225262
Fax 2539225299
Associated Practice Facility / Clinic
🏢 Franciscan Medical Group Facility NPI 1962417659

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Milton, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10001841

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8401788 (WA)
Commercial Insurance / Payer ID Railroad
P00153517 (WA)
Commercial Insurance / Payer ID State L&i
0186925 (WA)
Commercial Insurance / Payer ID State Crime Victims
8940030 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Audrey Rose Lewkowitz , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1013429653

PHYSICIANASSISTANT

Dr. Yilei Gu , MD

Family Medicine

NPI 1063891380

Doctor of Medicine (M.D.)

NPI 1144752957

Doctor of Osteopathic Medicine (D.O.)

NPI 1407889660

Doctor of Medicine (M.D.)

NPI 1467666362

Doctor of Medicine (M.D.)

Lilia Galanesi , ARNP

Nurse Practitioner - Family

NPI 1487059200

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2010

Registered at 2748 MILTON WAY, STE 101, MILTON, WA 983549382 (Tel: 2539225262)

📍
Updated Business Mailing Address November 16, 2010

Registered at 2748 MILTON WAY, STE 101, MILTON, WA 983549382 (Tel: 2539225262)

👤
Provider Name / Credentials Updated November 16, 2010

Recorded as JACK LAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2010

Physician Assistant (License #PA10001841 in WA)

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427069889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: November 16, 2010
Sole Proprietor: No

Mailing Address

2748 Milton Way, Ste 101

Milton, WA 983549382

Phone: 2539225262

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.