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

Jared R. Lake, MD

Individual provider Anesthesiology Physician · NPI 1720286255

Jared R. Lake, MD is an Anesthesiology in Murray, Utah. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
UT
In the registry since
2007
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

5121 Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 7890667-1205 (UT)

Record details

NPI number1720286255
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2007
Last updated in NPPESDecember 5, 2011
Mailing address3340 N Center St, 800, Lehi, UT 84043-7406

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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