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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JON P LAKE, MD

Active

JON P LAKE, MD is a Cytopathology healthcare provider located in GARDEN GROVE, California. NPI 1295768786 is currently active in the NPPES registry. Verify at CMS.

Cytopathology · GARDEN GROVE, CA

Registration Details

NPI Number
1295768786
Provider Type
Individual
Gender
Male
NPI Issued
Jul 8, 2006 (20.124175909302 yrs)
Last Updated
Sep 11, 2025
Licenses
A84772 (CA)
A84772 (CA)

Practice Information

Address
12601 GARDEN GROVE BLVD
GARDEN GROVE, CA, 928431908
Browse CA providers · Browse ZIP 92843
Phone
7147412765
Fax
7145902490
Primary Specialty
Cytopathology
207ZC0500X
Additional Specialty
Cytopathology

Other Cytopathology Providers in GARDEN GROVE, CA

Name Credential NPI
DR. JOHN CHATFIELD HISERODT M.D. 1235296864
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.