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Edward Lake, MD
Nephrology Physician in Oshkosh, Wisconsin
NPI 1336131101

Edward Lake is a Nephrology Physician based in Chicago, WI and is specialized in Nephrology. Edward Lake practices in Oshkosh, WI and has the professional credentials of MD. The NPI Number for Edward Lake is 1336131101 and holds a License No. 29465 (Wisconsin).

The current practice location address for Edward Lake is 855 N Westhaven Dr, Oshkosh, WI and can be reached out via phone at 920-303-5626 and via fax at 920-303-5632.

Location: 855 N Westhaven Dr, Oshkosh, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336131101
Provider Name
Edward Lake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
855 N Westhaven Dr, Oshkosh, WI, 60673-5044
Phone Number
920-303-5626
Fax Number
920-303-5632
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31925100 05 WI
institution
Provider Business Practice Location Address Details
Address
855 N Westhaven Dr
City
Oshkosh
State
Wisconsin
Zip
54904-7668
Phone Number
920-303-5626
Fax Number
920-303-5632
person
Provider Business Mailing Address Details
Address
855 N Westhaven Dr
City
Oshkosh
State
Wisconsin
Zip
54904-7668
Phone Number
920-303-5626
Fax Number
920-303-5632
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
29465 (Wisconsin)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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