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

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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