Individual
JASON EDWARD LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 200-250, GILBERT, AZ 85234-2168
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19568
MS
207X00000X
Orthopaedic Surgery Physician
35. 093195
OH
207X00000X
Orthopaedic Surgery Physician
42724
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
42724
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z5372
HEALTHNET
AZ
Enumeration date
04/14/2007
Last updated
03/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us