| Harold J Lake Jr, PA-C | |
|
1105 Sixth St, Traverse City, MI 49684-2345 | |
| (231) 935-8686 | |
| (231) 935-8707 |
| Full Name | Harold J Lake Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1105 Sixth St, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598098824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005633 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601005633 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Harold J Lake Jr, PA-C 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-8686 | Harold J Lake Jr, PA-C 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-8686 |
Jeffrey Arbour, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
Ms. Stacy Zachman Dobreff, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684 Phone: 231-935-8930 | |
John Gabriel Tazzi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St Ste E, Traverse City, MI 49684 Phone: 231-935-5880 Fax: 319-353-4642 | |
Mrs. Kolleen Bartosek, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1225 W Front St Ste C, Traverse City, MI 49684 Phone: 231-642-5031 Fax: 231-525-2306 | |
Derek Hendrickson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St Ste 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799 | |
Cassidy Lynn Warner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy Ste 1155, Traverse City, MI 49684 Phone: 810-923-3876 | |
Ronald L Sanders, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Munson Ave, Traverse City, MI 49686 Phone: 231-935-8686 |