Jason T Lake, CRNA
NPI #1821048182 in Westwood, Massachusetts
Provider Information
- NPI Number
- 1821048182
- Entity Type
- Individual
- Name
- Jason T Lake, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 690 CANTON ST
- Address 2
- SUITE 325
- City
- Westwood
- State
- Massachusetts
- ZIP Code
- 02090-2321
- Phone
- (781) 407-7713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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