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

Harold J Lake Jr., PA-C

Individual provider Physician Assistant · NPI 1598098824

Harold J Lake Jr., PA-C is a Physician Assistant in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (231) 935-8686
Fax: (231) 935-8707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005633 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601005633 (MI)

Record details

NPI number1598098824
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2009
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

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