JONATHAN IAN LAKE

PHILADELPHIA, PA
NPI1568857084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA  MD472772)
Enumeration Date2015-04-01
Last Update Date2022-03-10
Business Address
Dr. JONATHAN IAN LAKE M.D.
3400 SPRUCE ST 100 CENTREX
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2200
Mailing Address
Dr. JONATHAN IAN LAKE M.D.
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2200
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