1205051430 Jason Edward Lake, MD

Orthopaedic Foot and Ankle Surgery Physician

Active

Basic Information

Full Name
Jason Edward Lake, MD
Gender
Male
Enumeration Date
April 14, 2007
Last Update
March 25, 2025

Practice Location

Address
2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ 852342168
Phone
(480) 964-2908
Fax
(480) 833-2136

Mailing Address

Address
PO BOX 80217
PHOENIX, AZ 850600217
Phone
(602) 385-2115
Fax
(480) 418-3323

Specialties & Taxonomies

Specialty Code Classification License State Primary
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery 35. 093195 OH No
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery 42724 AZ No
Orthopaedic Surgery Physician
207X00000X Orthopaedic Surgery 19568 MS No
Orthopaedic Foot and Ankle Surgery Physician
Foot and Ankle Surgery
207XX0004X Orthopaedic Surgery 42724 AZ Primary

Other Identifiers

Identifier Type State Issuer
3Z5372 01 AZ HEALTHNET

Additional Practice Locations

1675 E Melrose St Ste 101-103
Gilbert, AZ 852971001

Phone: (602) 648-5444

Fax: (602) 772-3801

Frequently Asked Questions

What is Jason Edward Lake, MD's NPI number?
Jason Edward Lake, MD's NPI number is 1205051430.
Which doctor has NPI number 1205051430?
The doctor with NPI number 1205051430 is Jason Edward Lake, MD.
What is Jason Edward Lake, MD's practice address?
Jason Edward Lake, MD's practice address is 2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ, 852342168.
Which doctor practices at 2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ, 852342168?
Jason Edward Lake, MD practices at 2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ, 852342168.
What is Jason Edward Lake, MD's mailing address?
Jason Edward Lake, MD's mailing address is PO BOX 80217, PHOENIX, AZ, 850600217.
What is Jason Edward Lake, MD's phone number?
Jason Edward Lake, MD's phone number is (480) 964-2908.
Who is (480) 964-2908?
(480) 964-2908 is the phone number for Jason Edward Lake, MD.
What is Jason Edward Lake, MD's specialty?
Jason Edward Lake, MD's specialty is Orthopaedic Foot and Ankle Surgery Physician.
What type of doctor is Jason Edward Lake, MD?
Jason Edward Lake, MD is a Orthopaedic Foot and Ankle Surgery Physician.
Is Jason Edward Lake, MD a Foot and Ankle Surgery?
Yes, Jason Edward Lake, MD is a Foot and Ankle Surgery.
Is Jason Edward Lake, MD still practicing?
Yes, Jason Edward Lake, MD is currently practicing.
Is Jason Edward Lake, MD accepting new patients?
Jason Edward Lake, MD may be accepting new patients. Please call their office at (480) 964-2908 to inquire about availability.
Is NPI 1205051430 still active?
Yes, NPI 1205051430 is currently active.
Where does Jason Edward Lake, MD practice?
Jason Edward Lake, MD practices in GILBERT, AZ.
Is Jason Edward Lake, MD a male or female doctor?
Jason Edward Lake, MD is a male doctor.