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Jon M Lake, M.D.

Family Medicine Physician in Jackson, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376561696

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Registry record

Entity type Individual (Type 1)
Name Jon M Lake
Credential M.D.
Sex Male
Practice address 400 Hinckley Blvd, Suite 100, Jackson, MI, 49203
Phone (517) 784-0588
Fax (517) 784-3866
Enumeration date Jul 17, 2006
Last updated in NPPES Feb 17, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301068180 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
P00420975 Other MI RR MEDICARE
80169124 Other MI RR MEDICARE
5187092-10 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jon Lake?
The National Provider Identifier (NPI) for Jon Lake is 1376561696, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jon Lake practice?
The practice location on file with NPPES is in Jackson, MI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-17.