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

Jack F Lake, PA-C

Individual provider Physician Assistant · NPI 1427069889

Jack F Lake, PA-C is a Physician Assistant in Milton, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2748 Milton Way Ste 101
Milton, WA 98354-9382
Phone: (253) 922-5262
Fax: (253) 922-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10001841 (WA)

Record details

NPI number1427069889
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESNovember 16, 2010