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1720286255
JARED R. LAKE
MURRAY, UT
NPI
1720286255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 7890667-1205)
Enumeration Date
2007-07-05
Last Update Date
2011-12-05
Business Address
JARED R. LAKE M.D.
5121 COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-5248
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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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