Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Ian Lake, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1568857084

Dr. Jonathan Ian Lake, MD is an Anatomic Pathology & Clinical Pathology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St 100 Centrex
Philadelphia, PA 19104-4238
Phone: (215) 662-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD472772 (PA)

Record details

NPI number1568857084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

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