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

Jerin H Lake

Individual provider Chiropractor · NPI 1770459521

Jerin H Lake is a Chiropractic in Syracuse, Utah. Graduated from Northwestern College of Chiropractic in 2025, 1 year ago. Licensed in Utah.

Years since qualifying
1
Trained at
Northwestern College of Chiropractic
Licensed in
UT
In the registry since
2025

Practice location Address checks out

1013 W 2700 S
Syracuse, UT 84075-8973
Phone: (801) 774-7540
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 14252296-1202 (UT)

Record details

NPI number1770459521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address1013 W 2700 S, Syracuse, UT 84075-8973

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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