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Mr. Peter Mathew Lake, MD
Child & Adolescent Psychiatry Physician in Oconomowoc, Wisconsin
NPI 1306830377

Peter Mathew Lake is a Child & Adolescent Psychiatry Physician based in Oconomowoc, WI and is specialized in Child & Adolescent Psychiatry. Peter Mathew Lake practices in Oconomowoc, WI and has the professional credentials of MD. The NPI Number for Peter Mathew Lake is 1306830377 and holds a License No. 312115020 (Wisconsin).

The current practice location address for Peter Mathew Lake is 34700 Valley Rd, Oconomowoc, WI and can be reached out via phone at 262-646-4411.

Location: 34700 Valley Rd, Oconomowoc, WI, 53066-4500
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Provider Profile Details
NPI Number
1306830377
Provider Name
Peter Mathew Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34700 Valley Rd, Oconomowoc, WI, 53066-4500
Phone Number
262-646-4411
Fax Number
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31704700 05 WI
institution
Provider Business Practice Location Address Details
Address
34700 Valley Rd
City
State
Zip
53066-4500
Phone Number
262-646-4411
Fax Number
person
Provider Business Mailing Address Details
Address
34700 Valley Rd
City
State
Zip
53066-4500
Phone Number
262-646-4411
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
312115020 (Wisconsin)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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