PETER LAKE, MD
Child & Adolescent Psychiatry Physician · OCONOMOWOC, WI
Individual Active NPI 1306830377
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ✓ | 312115020 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.