Mr. Peter Mathew Lake is a Oconomowoc, Wisconsin based psychiatrist who is specialized in Child & Adolescent. Active license number of Mr. Peter Mathew Lake is 312115020 for Child & Adolescent in Wisconsin. His current practice location is 34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc. Patients can reach him at 262-646-4411. Mr. Peter Mathew Lake is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1306830377. Mr. Peter Mathew Lake has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Mr. Peter Mathew Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Peter Mathew Lake
Specialization:
Child & Adolescent
Gender:
Male
Credentials:
MD
Practice Address:
34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc, Wisconsin, 53066-4500
Phone:
262-646-4411
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1306830377
NPI Enumeration Date:
07 Sep, 2005
NPI Last Update On:
13 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Peter Mathew Lake are as mentioned below.
License Number
Specialization
State
Status
312115020
Child & Adolescent
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Peter Mathew Lake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
31704700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Peter Mathew Lake 34700 Valley Rd, Oconomowoc, Wisconsin
Zip:
53066-4500
Phone Number:
262-646-4411
Fax Number:
262-646-1049
Patients can reach Mr. Peter Mathew Lake at 34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc, Wisconsin or can call to book an appointment on 262-646-4411.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.