JARED R. LAKE

MURRAY, UT
NPI1720286255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  7890667-1205)
Enumeration Date2007-07-05
Last Update Date2011-12-05
Business Address
-- JARED R. LAKE M.D.
5121 COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-5248
Mailing Address
-- JARED R. LAKE M.D.
3340 N CENTER ST #800
LEHI, UT 84043-7406
Phone number: 801-990-1911
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