Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON EDWARD LAKE, MD
ActiveJASON EDWARD LAKE, MD is a Sports Medicine (Orthopaedic) healthcare provider located in GILBERT, Arizona. NPI 1205051430 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · GILBERT, AZ
Registration Details
- NPI Number
- 1205051430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2007 (19.379618699549 yrs)
- Last Updated
- Mar 25, 2025
- Licenses
-
35. 093195 (OH)42724 (AZ)19568 (MS)42724 (AZ)
Practice Information
- Address
-
2940 E BANNER GATEWAY DR STE 200-250GILBERT, AZ, 852342168Browse AZ providers · Browse ZIP 85234
- Phone
- 4809642908
- Fax
- 4808332136
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. JASON ALAN PATTERSON | M.D. | 1831326909 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.