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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PETER MATHEW LAKE, MD

Active

MR. PETER MATHEW LAKE, MD is a Psychiatric Neurology healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1306830377 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · OCONOMOWOC, WI

Registration Details

NPI Number
1306830377
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2005 (20.943757816894 yrs)
Last Updated
Oct 13, 2021
License
312115020 (WI)

Practice Information

Address
34700 VALLEY RD
ROGERS MEMORIAL HOSPITAL
OCONOMOWOC, WI, 530664500
Browse WI providers · Browse ZIP 53066
Phone
2626464411
Primary Specialty
Psychiatric Neurology
2084P0804X

Other Psychiatric Neurology Providers in OCONOMOWOC, WI

Name Credential NPI
DR. JENNIFER S SAUL MD 1487610853
DR. ANDREW M BUTCHART D.O. 1245318229
CUONG TIEU M.D. 1245304716
ERIK J ULLAND M.D. 1053475699
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.