Mr. Peter Mathew Lake
MD | Psychiatry | Child & Adolescent
34700 Valley Rd, Rogers Memorial Hospital, Oconomowoc
Wisconsin, 53066-4500
262-646-4411 Maps & DirectionsMr. 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.